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Georgia 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
$2,089.30 / $5,370.32 / $7,943.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,570.40 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$81.28 / $81.28 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,981.07 / $6,918.31