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Virginia 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
$575.14 / $5,087.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.99 / $551.17 / $588.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.62 / $1,172.52 / $1,657.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.50 / $436.50 / $436.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.54 / $1,992.54 / $1,992.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.43 / $369.92 / $470.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.88 / $468.94 / $707.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.59 / $642.36 / $902.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.98 / $648.23 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.98 / $648.23 / $10,945.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,398.00 / $10,423.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.92 / $299.12 / $540.34