go back

Ohio 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
$1,984.00 / $7,342.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.27 / $323.56 / $517.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.38 / $249.41 / $469.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.93 / $4,403.29 / $10,596.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.27 / $5,404.04 / $8,830.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.39 / $377.39 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.56 / $1,571.56 / $1,571.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $2,883.00 / $5,708.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.33 / $390.20 / $772.17