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South Carolina rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $9,772.37 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,905.46
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
$812.83 / $977.24 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,819.70
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
$691.83 / $933.25 / $1,479.11