go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$246.79 / $342.36 / $366.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.89 / $463.89 / $487.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $485.00 / $513.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.99 / $402.45 / $524.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $89.00 / $89.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.01 / $321.33 / $563.25