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Maryland 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
Professional
Modifier
Low / Median / High Price
$287.57 / $402.86 / $491.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $485.00 / $513.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.42 / $405.28 / $528.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $2,118.00 / $2,118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.92 / $258.52 / $491.82