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South Carolina rates for HCPCS 0622T

Trabeculostomy ab interno by laser; with use of ophthalmic endoscope

Facilitymedian $9,120 · 10th–90th $295–$18,1970%10%10th90th$9,120Professionalmedian $309 · 10th–90th $263–$3980%20%40%10th90th$309$50.0$200.0$1.0K$5.0K$20.0K

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
$7,943.28 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $398.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,025.60 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $549.54