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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.16 / $691.94 / $788.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.94 / $749.77 / $1,009.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.70 / $974.70 / $974.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.10 / $1,462.05 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,030.67 / $10,875.97 / $15,835.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.53 / $1,187.53 / $1,249.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.76 / $1,000.09 / $1,439.96