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Hawaii 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
$2,528.00 / $6,084.00 / $7,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.58 / $887.54 / $1,035.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00