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New Jersey 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
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.90 / $327.90 / $327.90
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.18 / $265.89 / $464.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $196.04 / $276.52