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Washington 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
$1,479.11 / $7,943.28 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $10,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,511.89 / $10,964.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $1,905.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,047.13 / $1,862.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $14,791.08 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $16,218.10 / $30,199.52