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Adhesion Barrier

South Carolina rates for HCPCS C1765

Adhesion barrier

Rates data updated July 2026.

Facilitymedian $977 · 10th–90th $3$1,3180%20%10th90th$977Professionalmedian $3 · 10th–90th $3$5750%50%90th$3$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$1,288.25
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.17
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20