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South Carolina 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
$3,801.89 / $5,888.44 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $316.23 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $537.03