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Pennsylvania rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $229.09 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $229.09 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,897.79 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $467.74