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Illinois 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
$676.00 / $2,368.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.74 / $735.98 / $883.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.36 / $7,379.41 / $9,520.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.70 / $986.70 / $1,201.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.58 / $1,184.43 / $1,262.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.84 / $1,158.30 / $1,716.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.34 / $1,023.63 / $1,115.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $5,951.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.10 / $1,009.46 / $1,626.75