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South Carolina rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $9,120.11 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,905.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $13,182.57 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,380.38