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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
$1,391.00 / $4,341.45 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.25 / $1,364.30 / $1,899.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,230.00 / $11,627.00 / $19,974.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.18 / $2,411.84 / $5,227.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,705.96 / $23,788.45 / $23,788.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,866.32 / $13,951.44 / $15,418.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,488.00 / $17,371.00 / $44,195.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.15 / $2,162.98 / $3,561.69