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Pennsylvania rates for HCPCS 0622T

Trabeculostomy ab interno by laser; with use of ophthalmic endoscope

Facilitymedian $5,370 · 10th–90th $1,047–$8,5110%10%10th90th$5,370Professionalmedian $316 · 10th–90th $224–$3980%20%10th90th$316$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $316.23 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $4,265.80 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $316.23 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,630.27 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $645.65