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Maine rates for HCPCS 0622T

Trabeculostomy ab interno by laser; with use of ophthalmic endoscope

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.95 / $318.95 / $403.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.61 / $287.76 / $337.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.50 / $480.73 / $737.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.95 / $318.95 / $318.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.19 / $457.11 / $664.26