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Minnesota rates for HCPCS 0622T

Trabeculostomy Ab Interno Laser W/Oph Endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.80 / $302.80 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.66 / $302.80 / $329.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.60 / $1,340.62 / $2,350.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.47 / $423.47 / $423.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.80 / $518.10 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.79 / $596.54 / $1,295.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.05 / $546.83 / $1,247.46