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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)

Facilitymedian $3,715 · 10th–90th $1,318$9,7720%5%10th90th$3,715Professionalmedian $1,820 · 10th–90th $955$5,0120%5%10%10th90th$1,820$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $3,715.35 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,981.07 / $25,118.86
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,819.70 / $5,011.87
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,467.37 / $6,165.95