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South Carolina rates for HCPCS 0613T

Perq Tcat Impltj Intratrl Septal Shunt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.67 / $9,062.00 / $20,243.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.67 / $1,154.85 / $1,154.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.23 / $183.23 / $183.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,239.00 / $32,000.00 / $58,466.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.42 / $1,121.06 / $2,331.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.39 / $1,656.95 / $3,209.68