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North Dakota rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.71 / $159.71 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.71 / $220.58 / $220.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.43 / $478.02 / $562.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.71 / $271.51 / $479.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $427.43 / $613.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,640.00 / $4,640.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.95 / $332.44 / $512.14