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South Carolina rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.42 / $6,603.83 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.27 / $1,816.57 / $2,644.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.97 / $664.97 / $664.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.44 / $4,295.76 / $7,145.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.78 / $1,970.00 / $3,282.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,874.03 / $4,874.03 / $4,874.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.78 / $1,371.31 / $3,868.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.61 / $2,254.58 / $3,041.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,022.41 / $3,022.41 / $3,022.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.69 / $1,331.81 / $2,143.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.09 / $2,312.53 / $3,728.43