go back

Nebraska 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
$4,241.22 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.59 / $719.59 / $865.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,889.38 / $7,684.16 / $14,983.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.69 / $1,037.55 / $1,383.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,847.05 / $5,847.05 / $5,847.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.63 / $1,165.78 / $1,699.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.59 / $1,822.94 / $22,109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.93 / $1,298.49 / $1,741.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.06 / $1,787.39 / $7,923.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.20 / $1,262.46 / $1,787.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.15 / $1,340.77 / $1,691.06