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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
$1,300.00 / $4,192.00 / $13,200.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.20 / $674.17 / $912.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.68 / $1,266.68 / $1,266.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.80 / $2,096.98 / $6,698.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93