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Nebraska 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
$1,545.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.38 / $303.38 / $365.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,889.38 / $7,684.16 / $14,983.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.33 / $518.75 / $691.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.39 / $613.08 / $770.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.38 / $576.41 / $4,317.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.96 / $649.24 / $870.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.23 / $606.63 / $770.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.23 / $613.08 / $775.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.66 / $679.43 / $845.52