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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $977.24 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,897.79 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,584.89 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $6,918.31 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $2,089.30