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South Carolina rates for HCPCS 0100T

Plmt Scjncl Rta Prosth&Pls&Impltj Intra-Oc Rta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.54 / $11,018.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.44 / $1,899.54 / $2,408.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,319.53 / $9,795.75 / $15,713.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.58 / $1,245.05 / $2,056.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,324.28 / $4,324.28 / $4,324.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.97 / $1,899.54 / $2,355.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,494.37 / $5,494.37 / $5,494.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $30,705.00 / $56,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.61 / $1,966.40 / $3,248.83