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South Carolina rates for HCPCS 67030

Discission Vitreous Strans Pars Plana Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.37 / $4,375.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.07 / $633.67 / $691.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,871.40 / $6,462.66 / $10,943.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.14 / $554.54 / $937.17
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
$406.37 / $625.03 / $1,302.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.00 / $604.52 / $949.29
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 / $356.76 / $586.50
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
$444.05 / $552.54 / $894.24