go back

Michigan 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
$382.34 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.42 / $382.34 / $551.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,756.46 / $7,868.57 / $18,145.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.86 / $3,287.43 / $3,849.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.75 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.34 / $632.75 / $876.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,500.00 / $7,350.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.95 / $713.69 / $956.42