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South Carolina rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.26 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.32 / $783.26 / $920.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.41 / $733.41 / $733.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.60 / $6,521.11 / $11,771.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.09 / $707.34 / $1,221.98
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
$574.45 / $817.71 / $1,592.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.61 / $860.00 / $1,281.00
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 / $488.61 / $806.28
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
$564.26 / $754.27 / $1,386.74