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New Mexico rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.85 / $2,095.00 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.85 / $232.61 / $232.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $8,842.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.56 / $352.92 / $486.99