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Colorado rates for HCPCS 0100T

Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and implantation of intra-ocular retinal electrode array, with vitrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.00 / $6,028.00 / $11,529.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.39 / $1,879.94 / $2,248.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,999.00 / $26,120.00 / $67,429.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.92 / $2,523.92 / $3,605.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.46 / $1,776.39 / $2,664.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,135.94 / $3,135.94 / $7,013.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,619.00 / $46,955.00 / $73,658.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.32 / $2,446.86 / $3,838.08