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Texas rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,682.00 / $12,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.12 / $224.85 / $245.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.12 / $15,056.25 / $15,056.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.12 / $1,788.72 / $2,083.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.03 / $243.67 / $348.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.41 / $230.41 / $230.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.03 / $243.67 / $348.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.41 / $230.41 / $313.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,931.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.31 / $249.74 / $396.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.16 / $235.16 / $317.47