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Alaska rates for HCPCS 0474T

Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,836.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.82 / $463.82 / $463.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.49 / $325.94 / $663.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.60 / $1,574.10 / $1,853.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.72 / $379.12 / $663.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.60 / $1,566.00 / $2,412.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.78 / $634.26 / $1,920.64