go back

South Carolina rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $7,943.28 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $223.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $691.83