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California rates for HCPCS 66174

Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.00 / $8,544.00 / $18,630.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$656.66 / $708.96 / $4,331.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.00 / $875.54 / $1,651.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.66 / $563.66 / $706.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,785.00 / $10,404.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.24 / $1,424.23 / $2,788.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,343.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.72 / $1,175.32 / $2,662.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $2,977.65 / $4,058.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.30 / $1,244.52 / $2,550.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.49 / $900.59 / $2,936.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.46 / $781.23 / $1,536.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,390.72 / $11,879.05
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,005.66 / $7,881.75 / $7,881.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,714.27 / $4,714.27 / $5,129.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.80 / $869.44 / $1,520.00
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,412.64 / $1,412.64 / $1,412.64
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$282.52 / $282.52 / $282.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.30 / $1,264.16 / $2,513.52
Providence
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$279.27 / $395.16 / $424.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.91 / $3,100.91 / $3,100.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.65 / $682.48 / $834.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,307.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.51 / $992.72 / $2,252.55