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Minnesota 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
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $9,549.93 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $831.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,089.30 / $4,168.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,698.24 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,862.09 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,621.81 / $3,388.44