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Oregon rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $10,715.19 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $234.42 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $575.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $309.03 / $13,803.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $8,912.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $489.78 / $3,890.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $269.15 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $501.19 / $1,148.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $15,135.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $16,218.10 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $645.65