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South Carolina rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.00 / $9,062.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.42 / $1,174.58 / $1,918.63
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
$869.09 / $980.31 / $1,705.53
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
$701.03 / $1,063.52 / $2,269.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.00 / $1,051.93 / $1,628.10
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 / $649.90 / $1,048.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.00 / $12,271.00 / $22,523.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.12 / $907.60 / $1,512.19