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Kansas 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
$2,754.23 / $5,623.41 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,348.96 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,041.74 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $4,677.35