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Oregon 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
$2,747.00 / $10,347.48 / $32,689.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $331.92 / $364.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $691.00 / $691.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.42 / $695.13 / $772.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.62 / $499.04 / $783.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.22 / $611.09 / $675.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.35 / $382.47 / $780.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.44 / $691.49 / $1,571.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.75 / $1,041.31 / $1,317.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.88 / $625.02 / $865.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.56 / $625.02 / $969.73