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Oregon 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
$363.08 / $6,606.93 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $524.81 / $7,943.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $4,677.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $645.65 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $363.08 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $691.83 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $676.08 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $870.96