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Ohio 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
$1,758.87 / $5,201.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $3,025.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.12 / $1,739.79 / $2,128.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.08 / $1,253.49 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.08 / $1,124.08 / $1,253.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,072.00 / $6,522.00