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South Carolina rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $8,709.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,265.80 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $954.99 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,964.78 / $16,982.44