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Michigan 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
$954.99 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,801.89 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $1,778.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,818.38 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,318.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,918.31 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,621.81