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North Dakota 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
$1,318.26 / $1,819.70 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,187.76 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,912.51 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $3,630.78