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Oklahoma 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
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.49 / $264.49 / $264.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.49 / $1,094.00 / $5,991.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.67 / $344.73 / $501.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,723.87 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.42 / $352.32 / $454.55