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Washington, DC 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
$2,137.96 / $7,244.36 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,905.46 / $2,290.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $12,589.25 / $19,952.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $58,884.37 / $151,356.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,949.84 / $5,495.41