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North Carolina 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
$1,621.81 / $8,709.64 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,467.37 / $5,754.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,778.28 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $44,668.36 / $83,176.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,995.26 / $3,801.89
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $15,488.17 / $15,488.17