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South Carolina rates for HCPCS 67040

Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $8,709.64 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,606.93 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,412.54 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $17,378.01 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,995.26