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Indiana rates for HCPCS 0191T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; initial insertion

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.00 / $5,099.00 / $10,957.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,499.48 / $52,499.48 / $52,499.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,749.62 / $36,749.62 / $36,749.62