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Colorado 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
$2,018.00 / $5,503.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.74 / $1,666.68 / $2,201.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.89 / $1,636.09 / $2,212.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $6,090.00 / $14,057.00