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Missouri rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $223.31 / $289.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.48 / $334.76 / $551.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $591.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.31 / $2,680.00 / $12,677.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.56 / $308.13 / $1,033.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.77 / $296.19 / $489.68