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Indiana 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
$738.02 / $1,896.71 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.00 / $5,790.87 / $8,388.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.86 / $957.02 / $1,447.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $1,627.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $6,032.00 / $12,090.00