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Arkansas 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
$1,230.27 / $2,344.23 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,737.80 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131,825.67 / $131,825.67 / $181,970.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $12,022.64 / $22,908.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $3,630.78