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South Carolina rates for HCPCS 67570

Optic Nerve Decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.65 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.19 / $1,399.97 / $1,646.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.05 / $1,229.05 / $1,229.05
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
$1,054.00 / $1,200.47 / $2,028.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.85 / $2,594.85 / $2,594.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.20 / $1,452.49 / $2,998.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,449.62 / $2,147.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $933.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $843.91 / $1,370.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.76 / $1,285.98 / $2,080.21