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New Hampshire 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
$100.00 / $2,331.21 / $11,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.95 / $555.49 / $595.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.74 / $1,098.74 / $1,650.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.55 / $850.12 / $1,683.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.84 / $625.20 / $1,284.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.13 / $332.34 / $422.98