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Texas 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
$1,093.00 / $3,511.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.46 / $3,194.54 / $6,454.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.60 / $2,246.46 / $5,929.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.40 / $4,937.80 / $4,937.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.86 / $1,494.86 / $1,543.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,437.36 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.97 / $1,312.04 / $1,936.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.97 / $1,321.23 / $2,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,264.00 / $7,600.00