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Alaska rates for HCPCS 0449T

Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,445.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,235.94 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,122.02 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,862.09 / $6,025.60