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Minnesota 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
$321.13 / $321.13 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.54 / $321.13 / $328.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $914.97 / $1,941.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.98 / $914.97 / $914.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.98 / $704.98 / $704.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.69 / $552.04 / $2,400.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.28 / $573.92 / $1,233.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.48 / $543.73 / $1,233.45