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South Carolina rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.05 / $3,183.15 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.69 / $812.00 / $1,459.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.37 / $1,352.71 / $2,767.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.43 / $401.12 / $1,555.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.54 / $473.98 / $1,997.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.56 / $1,212.33 / $1,676.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.44 / $1,127.22 / $1,425.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.54 / $1,250.10 / $2,081.87