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South Carolina rates for HCPCS 21390

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,145.69 / $5,515.65 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.35 / $9,578.99 / $16,900.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.02 / $1,130.00 / $4,769.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.81 / $1,054.00 / $1,754.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00