go back

Kansas 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
$3,162.28 / $6,456.54 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $6,165.95 / $23,442.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,187.76 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $9,332.54 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,238.72 / $3,311.31