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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.34 / $340.39 / $387.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.69 / $347.20 / $496.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.14 / $269.14 / $269.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.52 / $470.81 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $592.19 / $931.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.09 / $580.09 / $609.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.83 / $395.65 / $595.59