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South Carolina rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.64 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,073.24 / $5,808.35 / $9,670.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $715.00 / $1,985.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.00 / $724.26 / $1,109.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $10,257.00 / $16,249.00