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Indiana 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
$210.47 / $3,500.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.73 / $210.47 / $306.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.23 / $399.41 / $558.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.21 / $5,058.18 / $7,587.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.70 / $312.70 / $446.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.39 / $450.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.27 / $620.27 / $1,571.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.80 / $377.97 / $692.20