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California 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
$3,715.35 / $8,912.51 / $19,952.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,951.21 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,737.80 / $2,344.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $2,570.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,413.10 / $15,135.61