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Washington, DC 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
$1,516.72 / $4,100.00 / $6,945.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.72 / $1,430.84 / $2,729.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00