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South Carolina rates for HCPCS 0717T

Adrc Ther Prtl Thickness Rc Tear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,799.00 / $9,062.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $2,300.00 / $9,062.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $890.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00