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Connecticut 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
$4,570.88 / $8,511.38 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $17,378.01 / $36,307.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $13,489.63 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,187.76 / $4,897.79