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Texas rates for HCPCS 0474T

Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space

Facilitymedian $3,631 · 10th–90th $813–$12,0230%5%10%10th90th$3,631Professionalmedian $372 · 10th–90th $288–$6610%20%40%10th90th$372$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $13,803.84
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,162.28 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,230.27 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $758.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $6,309.57 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00