go back

Iowa 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
$1,737.80 / $6,606.93 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,778.28 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,623.41 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,548.13 / $4,786.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,786.30 / $24,547.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,388.44 / $13,803.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,548.13 / $4,786.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $18,197.01 / $28,840.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,884.03 / $5,370.32