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Illinois rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $2,989.00 / $5,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.16 / $209.92 / $266.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,822.53 / $5,753.49 / $7,422.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.10 / $309.10 / $309.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $500.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $5,951.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.74 / $333.81 / $534.29