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Utah rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.23 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.72 / $228.23 / $235.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.49 / $7,709.06 / $11,234.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.12 / $281.50 / $301.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.52 / $249.74 / $401.36