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California 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
$1,956.72 / $7,648.00 / $18,252.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.26 / $314.64 / $401.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.00 / $4,814.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.45 / $337.46 / $542.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $2,103.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $705.31 / $1,050.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.73 / $261.60 / $305.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.02 / $2,273.69 / $2,341.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.56 / $2,452.64 / $2,854.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.39 / $419.94 / $558.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.92 / $279.95 / $349.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,836.00 / $5,067.00 / $17,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.16 / $350.40 / $836.94