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Tennessee 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
$1,513.56 / $3,548.13 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $12,302.69 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $4,677.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $15,488.17 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $18,620.87 / $42,657.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $3,548.13