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South Carolina rates for HCPCS 67414

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,818.84 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.76 / $9,263.14 / $15,459.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.85 / $2,594.85 / $2,594.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.00 / $1,535.28 / $2,455.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00