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South Carolina rates for HCPCS 67041

Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $10,000.00 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $3,019.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,071.52 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,606.93 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,412.54 / $2,454.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $3,090.30
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
$954.99 / $1,230.27 / $1,949.84