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Kentucky 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
$724.44 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,912.51 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $17,378.01 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $16,595.87 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,677.35 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,778.28