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South Carolina rates for HCPCS V2627

Scleral Cover Shell (Special Coverage Instructions Apply. See Cim: 65-3)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.59 / $1,369.70 / $1,437.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.99 / $1,847.99 / $1,847.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.00 / $1,717.33 / $2,068.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.24 / $1,390.80 / $1,808.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.97 / $774.36 / $968.92