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Missouri 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
$1,778.28 / $4,466.84 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $2,238.72 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,818.38 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $602.56