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Arkansas 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
$189.38 / $1,782.00 / $9,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $209.09 / $357.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $900.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $376.81 / $610.78