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South Carolina rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.79 / $316.61 / $344.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.00 / $393.04 / $472.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.39 / $317.99 / $413.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.82 / $182.18 / $221.54