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Ohio 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
$1,109.00 / $2,989.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.79 / $323.23 / $516.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.90 / $162.12 / $293.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.37 / $4,603.43 / $10,596.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.27 / $5,404.04 / $8,830.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.98 / $376.98 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.48 / $1,568.48 / $1,568.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.00 / $881.00 / $2,833.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.01 / $368.78 / $688.63