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Hawaii rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $5,484.00 / $6,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.44 / $229.44 / $229.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.81 / $386.30 / $399.07