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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
$882.00 / $4,304.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.12 / $229.41 / $262.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.78 / $235.16 / $5,100.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.77 / $278.20 / $477.62