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South Carolina rates for HCPCS 67105

Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.77 / $6,154.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.01 / $496.29 / $854.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.45 / $295.45 / $295.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.71 / $1,400.46 / $2,131.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.17 / $847.00 / $1,197.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.83 / $271.83 / $271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $549.20 / $823.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.01 / $515.52 / $1,013.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.18 / $271.18 / $271.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.34 / $226.16 / $315.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.74 / $396.53 / $857.08