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New Hampshire 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
$100.00 / $2,331.21 / $11,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.79 / $758.22 / $812.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.97 / $776.18 / $776.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.89 / $1,587.15 / $3,143.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.81 / $1,170.76 / $2,266.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.68 / $845.95 / $3,375.00