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Oregon rates for HCPCS 66170

Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.40 / $8,878.56 / $13,746.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.00 / $853.00 / $853.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.68 / $2,291.07 / $2,545.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.34 / $1,771.69 / $3,288.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.06 / $2,072.98 / $2,327.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.51 / $2,543.10 / $7,339.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$406.90 / $406.90 / $406.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,698.81 / $7,379.02 / $8,723.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00