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South Carolina rates for HCPCS 67440

Orbitotomy Bone Flap/Window Lateral W/Drg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.02 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.44 / $1,434.96 / $1,678.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.76 / $9,263.14 / $15,459.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.34 / $1,473.00 / $2,417.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $815.00 / $3,288.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.62 / $1,479.09 / $3,161.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.00 / $1,452.00 / $2,265.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.00 / $1,062.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $905.57 / $1,458.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.48 / $1,266.83 / $2,078.16