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Missouri 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
$1,852.43 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.29 / $1,852.43 / $2,400.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $90.98 / $184.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.00 / $1,552.00 / $1,552.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.43 / $5,614.00 / $23,788.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.63 / $2,338.83 / $8,278.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,493.00 / $7,232.00 / $65,418.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.63 / $2,352.98 / $3,921.64