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West Virginia rates for HCPCS 0621T

Trabeculostomy ab interno by laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.41 / $229.41 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.92 / $229.41 / $262.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.07 / $3,803.16 / $7,516.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.16 / $275.16 / $275.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.96 / $1,145.96 / $1,145.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.10 / $294.86 / $442.79