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Utah rates for HCPCS 0622T

Trabeculostomy Ab Interno Laser W/Oph Endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.35 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.52 / $312.35 / $322.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.09 / $479.82 / $578.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.28 / $386.06 / $413.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.57 / $341.77 / $549.26