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Oregon 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
$1,659.59 / $13,489.63 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,548.13 / $4,073.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $19,054.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,398.83 / $13,489.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,951.21 / $6,456.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,041.74 / $3,162.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,413.10 / $602,559.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $57,543.99 / $91,201.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,467.37 / $5,248.07