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South Carolina rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,905.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $2,570.40 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $912.01 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $79.43