go back

South Carolina rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.96 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.58 / $1,041.74 / $1,086.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,073.24 / $5,808.35 / $9,674.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.90 / $920.40 / $1,556.10
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
$669.36 / $1,036.33 / $2,051.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $987.81 / $1,531.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $933.00 / $4,349.43
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
$673.03 / $895.02 / $1,384.40