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South Carolina rates for HCPCS V2799

Vision Item Or Service Miscellaneous (Revised 12/08/2014)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.01 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $40.00 / $181.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00