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Utah 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
$537.03 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $478.63 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $758.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $269.15 / $316.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $478.63 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $478.63