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South Carolina rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.47 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.85 / $9,696.57 / $16,579.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,954.78 / $6,954.78 / $6,954.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.04 / $1,203.46 / $1,559.24
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$190.94 / $281.32 / $290.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.00 / $16,223.00 / $23,485.00