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South Carolina rates for HCPCS 67399

Unlisted Procedure Extraocular Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,799.00 / $9,062.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.00 / $812.00 / $9,062.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,321.48 / $6,168.04 / $9,981.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.00 / $1,713.00 / $1,713.00