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Missouri 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
$1,258.00 / $4,470.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.20 / $376.49 / $487.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.99 / $739.46 / $1,208.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $591.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.79 / $494.09 / $591.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.49 / $2,285.00 / $11,258.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.07 / $760.82 / $2,667.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $3,796.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.47 / $727.16 / $1,179.02