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Georgia 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
$1,202.00 / $3,460.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.04 / $312.58 / $323.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.18 / $311.76 / $351.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.00 / $778.00 / $778.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.85 / $1,694.85 / $1,694.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.77 / $502.28 / $1,527.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.00 / $1,550.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.60 / $452.13 / $780.23