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Michigan 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
$311.45 / $878.00 / $6,906.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.47 / $311.45 / $335.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.45 / $4,933.00 / $6,907.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.45 / $311.45 / $345.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,566.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.66 / $422.10 / $571.17