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South Carolina rates for HCPCS 01250

Anes Nerve Musc Tendon Fascia & Bursae Upper Leg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$551.62 / $551.62 / $722.50
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$454.27 / $454.27 / $595.00
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$212.64 / $212.64 / $276.43
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$112.00 / $160.00 / $242.00