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South Carolina rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.67 / $4,375.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.98 / $4,694.54 / $7,666.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $2,594.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.00 / $811.00 / $1,255.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $13,190.00 / $19,665.00