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South Carolina rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.33 / $8,783.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.76 / $9,263.14 / $15,459.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $2,594.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.00 / $939.00 / $1,477.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00