go back

South Carolina rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $9,450.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.88 / $226.36 / $293.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.47 / $3,813.47 / $5,084.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.10 / $309.10 / $309.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.90 / $219.09 / $268.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.27 / $249.74 / $434.52