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South Carolina rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $239.88 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $251.19 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $177.83