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Washington, DC 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
$1,017.00 / $2,080.00 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.36 / $366.11 / $366.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.89 / $463.89 / $463.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.99 / $404.10 / $755.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.45 / $306.52 / $894.94