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New Mexico 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
$1,000.00 / $2,095.00 / $7,838.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $3,800.00 / $3,800.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.97 / $1,763.60 / $2,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $5,971.00 / $8,422.00