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New Mexico 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
$2,089.30 / $7,762.47 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $85.11 / $2,754.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $30,199.52 / $50,118.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $3,311.31