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South Carolina rates for HCPCS 0622T

Trabeculostomy Ab Interno Laser W/Oph Endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.83 / $9,450.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.12 / $309.77 / $401.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.47 / $423.47 / $423.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.83 / $300.85 / $369.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.33 / $341.77 / $594.84