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Missouri 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
$1,778.28 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,137.96 / $11,481.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,380.38