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Oklahoma 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
$760.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.05 / $265.05 / $265.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.00 / $526.00 / $1,582.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.01 / $336.53 / $474.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.70 / $325.89 / $429.60