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Nationwide rates for HCPCS 66172

Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,897.79 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,585.78 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,511.89 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,168.69 / $9,549.93