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North Carolina 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
$311.91 / $1,635.00 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.47 / $311.91 / $314.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.91 / $580.15 / $1,003.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.70 / $303.08 / $349.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.08 / $303.08 / $303.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.13 / $424.04 / $848.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.02 / $1,858.02 / $2,273.69
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.56 / $2,854.43 / $2,854.43