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South Carolina rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.73 / $1,875.33 / $1,875.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.29 / $362.73 / $1,039.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.65 / $810.84 / $975.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.37 / $451.71 / $498.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $451.70 / $487.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.82 / $581.00 / $1,164.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.00 / $454.00 / $490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.41 / $400.91 / $548.57