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Kentucky rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.15 / $787.00 / $9,311.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.15 / $220.58 / $235.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $4,516.00 / $5,018.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.84 / $271.79 / $335.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.95 / $4,544.30 / $48,999.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.86 / $4,004.67 / $7,016.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.16 / $275.16 / $275.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.96 / $1,145.96 / $1,145.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.26 / $275.76 / $475.05