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Rhode Island rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.16 / $248.44 / $264.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $8,699.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.93 / $305.14 / $408.28