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Kentucky 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
$1,023.29 / $3,162.28 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,344.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $11,748.98 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,380.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $33,884.42 / $52,480.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $29,512.09 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $17,782.79 / $33,884.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $4,786.30