go back

Iowa 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 / $4,786.30 / $7,079.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,548.13 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $7,585.78