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South Carolina rates for HCPCS 65757

Backbench Prepj Corneal Endothelial Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.85 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.06 / $159.85 / $250.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $250.00 / $332.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.99 / $195.82 / $324.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.06 / $168.24 / $198.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.40 / $112.14 / $196.25