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Virginia rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Facilitymedian $3,715 · 10th–90th $251–$10,9650%10%10th90th$3,715Professionalmedian $263 · 10th–90th $209–$1,2880%20%10th90th$263$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $251.19 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $199.53 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $275.42 / $346.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $398.11
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $8,317.64 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $251.19 / $446.68