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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
$1,584.89 / $1,621.81 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $6,025.60 / $10,000.00