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Montana 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
$670.53 / $737.59 / $807.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.08 / $1,255.08 / $1,255.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.08 / $1,255.08 / $1,255.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.08 / $1,255.08 / $1,255.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.39 / $1,255.08 / $1,765.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $2,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.97 / $1,284.88 / $1,550.73