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South Carolina rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.88 / $7,799.00 / $11,867.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,881.07 / $6,466.05 / $11,397.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $1,985.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,086.00 / $1,579.42
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$164.20 / $212.20 / $315.88
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$114.94 / $148.54 / $201.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00