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Massachusetts 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
$1,249.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $345.40 / $401.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,733.00 / $5,876.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.49 / $495.60 / $2,382.56
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.44 / $449.44 / $528.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.88 / $777.62 / $1,028.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.00 / $2,733.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.49 / $499.77 / $2,382.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,854.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.57 / $499.77 / $1,028.32