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Oklahoma 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
$1,288.25 / $3,890.45 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $676.08 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $5,888.44