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South Carolina rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $201.85 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.05 / $80.53 / $96.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.49 / $535.07 / $880.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $80.00 / $139.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.94 / $53.94 / $53.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.34 / $91.52 / $183.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $88.58 / $154.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $51.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.47 / $69.42 / $86.59
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
$65.00 / $78.45 / $139.33