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Nebraska 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
$4,241.22 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.23 / $351.23 / $425.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,889.38 / $7,684.16 / $14,983.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.69 / $1,037.55 / $1,383.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.13 / $582.66 / $1,180.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.23 / $667.34 / $13,878.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.93 / $1,265.11 / $1,741.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.69 / $815.04 / $1,210.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.69 / $950.77 / $1,226.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.97 / $6,465.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.93 / $1,358.89 / $1,616.88