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Nebraska 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.70 / $788.70 / $788.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.90 / $874.90 / $874.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.10 / $490.10 / $490.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.10 / $543.54 / $832.26