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New Jersey 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
$4,466.84 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $831.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $12,302.69 / $20,417.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,709.64 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,621.81