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Illinois rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.65 / $2,095.00 / $5,405.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,138.27 / $8,220.96 / $17,930.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.04 / $1,244.47 / $3,276.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $3,733.00 / $6,514.00