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Florida 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
$539.00 / $3,401.00 / $11,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.43 / $327.32 / $401.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $715.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.48 / $529.48 / $529.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.53 / $245.24 / $323.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $1,911.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.26 / $328.92 / $574.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.37 / $198.37 / $198.37