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Massachusetts 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
$2,691.53 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $2,344.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $9,332.54 / $47,863.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $12,882.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,884.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $8,709.64 / $47,863.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,786.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $9,332.54 / $47,863.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $47,863.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $5,128.61