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West Virginia 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
$1,082.73 / $1,082.73 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.41 / $1,218.59 / $1,327.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.16 / $1,213.16 / $1,213.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,586.45 / $9,586.45 / $9,586.45