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South Carolina rates for HCPCS 0643T

Transcatheter L Ventr Restoration Device Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,799.00 / $13,624.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $20,243.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,112.63 / $8,112.63 / $8,112.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,379.00 / $16,706.00 / $27,498.00
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