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Arkansas rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.34 / $1,782.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $152.74 / $261.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,667.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.03 / $275.33 / $446.19