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Kentucky 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
$251.19 / $1,778.28 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $213.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $6,456.54 / $48,977.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $5,495.41 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $630.96