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South Carolina rates for HCPCS 0165T

Revj Tot Disc Arthrp Ant Appr Lmbr Ea Ntrspc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.51 / $4,862.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.97 / $770.51 / $953.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $919.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.10 / $2,786.10 / $2,786.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.05 / $770.51 / $1,294.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.80 / $484.86 / $964.51