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South Carolina 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
$6,760.83 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,630.78 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $489.78 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $363.08 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $691.83