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South Carolina rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.01 / $27.01 / $27.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $79.14 / $124.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.01 / $29.80 / $50.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$217.92 / $217.92 / $217.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.49 / $47.00 / $78.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $114.00 / $174.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.01 / $37.51 / $63.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.47 / $46.85 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.18 / $105.68 / $177.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.31 / $43.12 / $67.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.34 / $63.49 / $103.19
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.59 / $60.00 / $84.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.95 / $269.95 / $269.95
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$404.95 / $404.95 / $404.95
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.49 / $153.49 / $153.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $53.91 / $137.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $101.41 / $160.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.19 / $37.24 / $61.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.14 / $61.52 / $101.92