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South Carolina rates for HCPCS 65103

Enucleation of eye; with implant, muscles not attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,120.11 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $2,570.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $13,182.57 / $23,988.33