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West 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
$366.99 / $366.99 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.84 / $366.99 / $575.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.08 / $5,246.79 / $10,370.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $3,522.00 / $3,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.57 / $329.88 / $675.74