go back

North Carolina 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
$312.58 / $1,245.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.19 / $312.58 / $325.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.08 / $570.12 / $984.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.85 / $306.08 / $350.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.08 / $306.08 / $306.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.48 / $345.67 / $759.14
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.70 / $840.05 / $1,660.46
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.56 / $2,854.43 / $2,854.43