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South Carolina rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.81 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.93 / $1,042.56 / $1,236.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,073.24 / $5,808.35 / $9,670.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.52 / $936.00 / $1,582.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $715.00 / $3,424.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.18 / $1,037.33 / $2,053.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $988.76 / $1,532.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $933.00 / $3,022.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $585.40 / $972.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.85 / $895.74 / $1,469.49