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Arizona rates for HCPCS 0450T

Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; each additional device (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $340.94 / $516.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.30 / $852.43 / $1,350.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.43 / $260.81 / $280.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.33 / $590.33 / $590.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.39 / $890.00 / $2,035.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.39 / $343.14 / $727.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,488.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.39 / $331.15 / $643.29