go back

California 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
$1,778.28 / $6,025.60 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $645.65
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $100.00 / $6,165.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $134.90 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,884.03 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $416.87 / $562.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,548.82 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $676.08