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South Carolina rates for HCPCS 66225

Repair Scleral Staphyloma W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.79 / $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
$715.00 / $715.00 / $4,297.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.00 / $1,109.16 / $1,638.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $10,257.00 / $16,249.00