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Maryland rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.75 / $235.16 / $251.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $485.00 / $513.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.11 / $288.12 / $383.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $2,118.00 / $2,118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.40 / $251.61 / $493.11