go back

Rhode Island rates for HCPCS 0622T

Trabeculostomy Ab Interno Laser W/Oph Endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.73 / $340.01 / $362.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $3,539.00 / $6,383.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.09 / $417.60 / $558.73