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Florida 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
$1,148.15 / $5,248.07 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,202.26 / $1,949.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,888.44 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,623.41 / $9,772.37