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Virginia rates for HCPCS 0622T

Trabeculostomy Ab Interno Laser W/Oph Endoscope

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $5,412.00 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.26 / $345.40 / $359.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $229.83 / $241.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.39 / $377.39 / $377.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.56 / $1,571.56 / $1,571.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.26 / $367.36 / $467.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.08 / $359.09 / $552.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.00 / $550.62 / $780.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.89 / $427.65 / $4,462.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $427.65 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $2,959.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.81 / $354.10 / $608.72