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Arizona 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
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.04 / $329.30 / $517.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.49 / $192.62 / $239.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.39 / $1,762.00 / $4,466.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.04 / $359.86 / $762.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.00 / $3,193.00 / $5,491.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.04 / $350.39 / $626.73