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Pennsylvania 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
$882.00 / $4,761.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $5,342.00 / $9,617.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.62 / $694.62 / $1,193.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $3,879.00 / $7,508.00