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West Virginia 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
$1,180.13 / $1,180.13 / $2,300.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.95 / $1,328.39 / $1,447.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.00 / $1,325.00 / $1,325.00