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South Carolina rates for HCPCS 65112

Exenteration Orbit Rmvl Orbit Contents & Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.09 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.26 / $1,691.48 / $1,889.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.76 / $9,263.14 / $15,459.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.31 / $1,572.10 / $2,553.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $1,130.00 / $2,594.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.76 / $1,736.62 / $3,566.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.00 / $1,691.48 / $2,550.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.00 / $1,503.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.85 / $1,008.29 / $1,639.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.33 / $1,499.16 / $2,449.69