go back

New Jersey 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
$1,371.12 / $6,396.00 / $11,298.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,622.47 / $5,544.92 / $11,261.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,250.00 / $10,536.00