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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
$4,146.00 / $5,091.00 / $9,185.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.75 / $1,509.19 / $3,198.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.62 / $3,304.88 / $6,945.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.47 / $2,308.21 / $3,094.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00