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North Carolina 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
$912.01 / $6,165.95 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $2,041.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $16,595.87
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $8,709.64 / $8,709.64