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Indiana 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
$223.19 / $3,500.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.43 / $223.19 / $321.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.13 / $161.13 / $311.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.91 / $161.13 / $217.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.21 / $5,058.18 / $7,587.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.98 / $450.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.70 / $212.70 / $1,568.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.14 / $368.26 / $651.78