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South Carolina rates for HCPCS C1765

Adhesion Barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.89 / $673.45 / $1,287.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $379.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.64 / $397.64 / $397.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $4.15 / $269.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00