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Indiana rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.31 / $3,500.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.16 / $153.31 / $223.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.87 / $404.95 / $575.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.15 / $3,692.25 / $5,538.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $228.26 / $326.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.16 / $450.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.27 / $620.27 / $1,145.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.26 / $276.36 / $505.68