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South Carolina rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.44 / $1,777.44 / $1,777.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.44 / $1,777.44 / $2,957.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,895.50 / $4,966.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.54 / $3,214.74 / $3,549.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.07 / $2,847.00 / $6,239.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.00 / $2,223.00 / $2,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.90 / $1,964.53 / $2,719.10