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Washington 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
$331.92 / $10,596.56 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.70 / $331.92 / $376.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.43 / $503.31 / $1,107.28
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.00 / $787.67 / $2,942.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $734.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.01 / $530.01 / $530.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.07 / $1,031.07 / $1,031.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.11 / $646.59 / $675.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.44 / $429.44 / $460.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.16 / $722.09 / $914.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.43 / $503.31 / $956.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.98 / $628.33 / $872.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,050.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.21 / $520.85 / $916.26