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South Carolina rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.85 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.98 / $594.40 / $617.85
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
$453.64 / $551.00 / $965.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $3,424.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.96 / $597.22 / $1,166.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $578.86 / $870.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $660.00 / $3,022.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.42 / $325.74 / $519.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $10,878.00 / $16,901.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.32 / $493.96 / $835.36