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New Jersey 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
$1,715.00 / $5,192.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.52 / $340.51 / $374.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.26 / $363.73 / $522.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.50 / $367.74 / $606.78