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South Carolina rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.00 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.08 / $676.48 / $878.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.37 / $1,352.71 / $2,292.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.83 / $615.79 / $923.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.10 / $707.10 / $707.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.64 / $761.59 / $1,379.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.08 / $680.00 / $1,117.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $735.00 / $735.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $453.62 / $740.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.76 / $719.63 / $1,172.41