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Nebraska 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
$3,548.13 / $7,079.46 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,762.47 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,754.23 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $3,630.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,365.16 / $8,128.31