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South Carolina 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
$7,943.28 / $12,022.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,778.28 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,120.11 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $32,359.37 / $67,608.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $3,019.95