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South Carolina rates for HCPCS 22319

Optx&/Rdctj Odntd Fx&/Dislc Ant W/Int Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.75 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.14 / $2,003.55 / $2,429.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,401.93 / $21,277.44 / $33,889.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.46 / $1,998.62 / $3,331.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,097.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,871.55 / $2,378.17 / $4,009.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.38 / $2,352.00 / $4,088.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.23 / $1,286.08 / $2,436.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.09 / $1,962.28 / $4,242.35