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Florida 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
$1,445.44 / $5,370.32 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $707.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $8,511.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $3,019.95
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $36,307.81 / $79,432.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $3,019.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82