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Delaware 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
$3,235.94 / $3,235.94 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $426.58