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Virginia 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
$1,071.52 / $4,365.16 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $1,548.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,479.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,584.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,481.54 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,819.70