go back

North Carolina rates for HCPCS 0376T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the trabecular meshwork; each additional device insertion (List separately in addition to code for primary procedure)

Insurance Carrier
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $660.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25