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South Carolina rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.40 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.64 / $686.61 / $876.40
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
$626.39 / $714.29 / $1,246.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $2,594.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.56 / $748.50 / $1,645.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.00 / $806.00 / $1,080.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $660.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $475.91 / $740.91
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
$495.77 / $650.54 / $1,107.41