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Indiana rates for HCPCS 66185

Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.12 / $2,038.32 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.85 / $1,027.97 / $1,554.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $565.00 / $1,627.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.00 / $5,995.00 / $10,413.00