go back

Maryland 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
$1,798.29 / $3,184.08 / $3,862.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $513.90 / $1,205.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.34 / $928.44 / $1,211.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $4,561.46