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Idaho 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
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.66 / $291.52 / $331.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.52 / $309.02 / $424.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.39 / $503.31 / $739.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.71 / $501.48 / $501.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $3,700.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.92 / $426.16 / $643.97