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Maine rates for HCPCS 66174

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.54 / $1,003.19 / $1,512.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.21 / $913.19 / $1,196.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.09 / $1,194.66 / $1,636.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.22 / $884.20 / $1,356.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.87 / $945.69 / $1,452.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.37 / $1,319.94 / $1,706.81