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South Carolina rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.20 / $12,487.35 / $18,677.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,184.70 / $9,206.45 / $15,602.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $1,130.00 / $3,424.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.19 / $1,334.00 / $2,283.98
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$204.40 / $270.73 / $480.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.00 / $16,223.00 / $23,485.00