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Tennessee 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
$1,320.56 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$660.28 / $990.42 / $2,105.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.23 / $963.10 / $1,320.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.66 / $880.66 / $1,618.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.00 / $4,316.00 / $8,921.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.15 / $808.12 / $1,670.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.02 / $1,058.44 / $1,868.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,879.05 / $11,879.05
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,129.85 / $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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.51 / $1,091.72 / $1,802.14