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Massachusetts 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
$1,924.00 / $2,747.00 / $5,039.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.63 / $3,872.70 / $9,039.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.42 / $1,593.42 / $1,593.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.22 / $1,929.63 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $4,525.00 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.00 / $3,715.00 / $8,766.00