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Maine 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
Professional
Modifier
Low / Median / High Price
$540.41 / $670.53 / $922.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.97 / $690.97 / $1,366.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.51 / $1,137.92 / $1,745.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.41 / $670.53 / $1,053.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.35 / $1,080.96 / $1,397.79