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Texas 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
$797.00 / $3,213.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.04 / $3,214.76 / $6,469.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.78 / $669.78 / $699.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.86 / $1,494.86 / $1,543.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,887.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.42 / $916.70 / $1,411.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.46 / $923.38 / $1,494.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.20 / $4,063.00 / $8,226.00