go back

Virginia 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
$352.58 / $4,032.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.89 / $352.58 / $366.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.39 / $152.53 / $212.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.50 / $463.89 / $463.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.98 / $376.98 / $376.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.48 / $1,568.48 / $1,568.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.26 / $367.36 / $467.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.38 / $352.58 / $549.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.00 / $555.00 / $779.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.57 / $560.67 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.57 / $560.67 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.42 / $324.20 / $533.65