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Maine 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
$364.49 / $364.49 / $675.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.74 / $1,650.48 / $2,060.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.79 / $609.50 / $935.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.49 / $364.49 / $364.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.68 / $593.74 / $742.18