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Tennessee 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
$1,096.48 / $2,570.40 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,454.71 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $436.52 / $741.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,884.03 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $630.96