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South Carolina rates for HCPCS A6412

Eye Patch Occlusive Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $7.38 / $7.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.36 / $0.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $0.26