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Alaska rates for HCPCS 0622T

Trabeculostomy ab interno by laser; with use of ophthalmic endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $1,659.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $851.14 / $2,570.40