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South Carolina rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.30 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,331.30 / $1,548.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.01 / $1,884.01 / $1,884.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.51 / $1,279.67 / $2,128.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $1,060.60 / $1,905.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.55 / $481.55 / $481.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.58 / $1,395.36 / $2,725.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.58 / $1,327.33 / $2,026.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.59 / $410.59 / $410.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.85 / $782.43 / $1,242.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.00 / $3,083.00 / $7,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.25 / $1,189.15 / $1,950.21