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South Carolina rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.63 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,909.58 / $9,336.14 / $15,602.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.12 / $3,077.12 / $3,077.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.01 / $1,052.63 / $1,526.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.00 / $16,223.00 / $23,485.00