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South Carolina rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,265.80 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,862.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,964.78 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,348.96