go back

Minnesota 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
$371.54 / $371.54 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,365.16 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $512.86 / $588.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,884.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $676.08 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $549.54 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,760.83 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $1,071.52