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South Carolina rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.53 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.63 / $869.84 / $1,065.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.67 / $6,299.51 / $10,537.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.60 / $838.95 / $1,404.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $2,594.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.70 / $940.11 / $2,003.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.00 / $897.95 / $1,436.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.00 / $755.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $552.88 / $917.72
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
$605.49 / $802.68 / $1,312.26