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South Carolina rates for HCPCS 65782

Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $10,000.00 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,187.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $8,709.64 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,290.87
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
$912.01 / $1,174.90 / $1,862.09