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South Carolina rates for HCPCS 0614T

Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.09 / $9,855.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.09 / $578.76 / $578.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,013.67 / $24,013.67 / $30,858.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.09 / $466.38 / $839.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,267.76 / $24,267.76 / $24,267.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $31,007.00 / $77,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.11 / $1,079.70 / $1,958.67