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Rhode Island 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
$3,981.07 / $3,981.07 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,137.96 / $2,570.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $9,772.37 / $275,422.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $10,715.19 / $74,131.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $2,951.21