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Maine rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.01 / $233.01 / $294.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.61 / $287.76 / $337.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.97 / $350.54 / $537.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.01 / $233.01 / $233.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $333.95 / $484.46