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Idaho rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.71 / $212.72 / $242.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.72 / $225.48 / $310.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.24 / $7,329.42 / $12,807.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.67 / $365.66 / $365.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.12 / $311.39 / $470.56