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Arkansas rates for HCPCS 66175

Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.64 / $1,821.00 / $3,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.64 / $4,063.64 / $4,876.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,992.00