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South Carolina rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.45 / $3,923.54 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $689.50 / $751.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,300.83 / $9,279.00 / $15,602.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.39 / $685.00 / $1,169.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $1,985.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.70 / $700.31 / $1,417.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $732.27 / $1,036.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.00 / $493.00 / $1,675.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $391.00 / $646.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $9,904.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.60 / $604.50 / $998.75