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Arizona rates for HCPCS 0253T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,884.03 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,495.41 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,949.84