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Eye Drainage Implant Into The Supraciliary Space

Utah rates for HCPCS 0474T

A tiny drainage device is placed inside the eye, working from within through a small incision, to create a channel for fluid to leave the front of the eye into the supraciliary space, a natural layer within the eye wall. Improving the outflow of fluid lowers the pressure inside the eye. The device is not visible from outside.

Rates data updated July 2026.

Facilitymedian $4,571 · 10th–90th $537$8,5110%10%10th90th$4,571Professionalmedian $457 · 10th–90th $302$5620%20%10th90th$457$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$707.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$316.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$489.78