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Illinois 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
$1,258.93 / $3,715.35 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,981.07 / $25,118.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,819.70 / $5,011.87
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,548.13 / $6,165.95