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Missouri 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
$1,258.00 / $4,470.00 / $8,307.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $1,344.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,742.00 / $6,087.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $2,849.00 / $5,200.00