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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $305.61 / $340.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.72 / $590.33 / $775.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.94 / $330.91 / $517.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.77 / $753.87 / $2,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.12 / $565.94 / $1,094.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.72 / $605.09 / $770.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.21 / $606.63 / $775.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.00 / $1,623.00 / $2,126.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.90 / $480.01 / $985.18