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Oklahoma 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
$1,288.25 / $3,890.45 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $13,182.57 / $40,738.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $26,302.68 / $44,668.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $2,511.89