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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
$371.81 / $371.81 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.34 / $371.81 / $417.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.54 / $3,825.02 / $8,281.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.49 / $1,010.61 / $1,010.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.77 / $1,466.77 / $3,528.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.79 / $506.55 / $591.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.81 / $1,340.98 / $2,778.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.50 / $466.13 / $582.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.99 / $723.96 / $8,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.52 / $613.79 / $1,559.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.00 / $5,379.86 / $11,165.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.04 / $607.50 / $1,100.11