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Tennessee 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
$1,256.00 / $3,329.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,182.00 / $5,375.00 / $9,363.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $24,126.55 / $24,126.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00