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Illinois 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
$630.96 / $3,235.94 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,025.60 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $2,041.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $1,737.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $5,370.32 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,905.46