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Pennsylvania 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
$882.00 / $4,304.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.26 / $314.02 / $359.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.78 / $323.02 / $5,100.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.58 / $380.70 / $653.59