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Hawaii 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
$2,570.40 / $6,025.60 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $794.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $11,748.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $676.08 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,548.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,235.94 / $5,495.41