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Illinois 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
$438.00 / $1,544.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.43 / $305.61 / $365.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.98 / $704.98 / $704.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $495.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $963.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.89 / $433.43 / $700.51