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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.43 / $333.09 / $353.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,417.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.30 / $377.69 / $537.70