go back

Delaware rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.36 / $784.36 / $784.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.20 / $331.17 / $351.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $451.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.05 / $369.97 / $548.44