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Montana 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
$340.25 / $340.25 / $340.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.01 / $530.01 / $530.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.01 / $530.01 / $530.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.01 / $530.01 / $530.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.01 / $596.73 / $702.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.92 / $549.27 / $662.90