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South Carolina rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,495.41 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $3,388.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $17,378.01