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Nebraska 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
$7,244.36 / $9,549.93 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $6,309.57 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,548.13 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,311.31 / $23,988.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,548.13 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,890.45 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $15,848.93 / $45,708.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,548.13 / $4,677.35