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Artificial Iris Implant

North Carolina rates for HCPCS 0616T

Implants an artificial iris, the colored ring of the eye, where the natural iris is missing or badly damaged after injury, previous surgery, or a condition present from birth. Restoring that ring cuts the glare and light sensitivity that come from an opening which can no longer narrow, and it also restores the eye's normal appearance.

Rates data updated July 2026.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,445 to $83,176Professionalmedian $4,365 · 10th to 90th $4,365 to $4,365
$2K$5K$10K$20K$50Kfacility $3,162professional $4,365

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$4,897.79
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$83,176.38
Typical High
$83,176.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16