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Ohio 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
$2,306.00 / $8,956.00 / $12,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.39 / $1,745.79 / $2,793.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,969.00 / $9,066.00 / $60,320.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.01 / $1,044.02 / $1,881.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.44 / $23,142.76 / $45,499.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.52 / $29,182.76 / $47,684.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,146.30 / $2,146.30 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,478.37 / $8,478.37 / $8,478.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,541.00 / $26,111.00 / $46,132.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.15 / $2,371.77 / $6,003.42