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New York 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
$1,548.00 / $4,640.82 / $10,475.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.47 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,325.00 / $1,685.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,337.51 / $3,009.40
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,325.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.12 / $1,619.12 / $3,980.90