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Missouri 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
$851.00 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.39 / $325.12 / $421.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.43 / $358.07 / $474.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $591.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $656.74 / $1,522.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.82 / $397.21 / $1,333.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.92 / $382.38 / $637.29