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South Carolina rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.72 / $2,144.02 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.51 / $740.43 / $1,223.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.24 / $721.24 / $721.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.54 / $5,405.49 / $9,383.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.00 / $632.65 / $901.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.76 / $830.21 / $1,110.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.52 / $783.00 / $1,143.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.41 / $1,397.41 / $1,397.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $525.04 / $837.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.25 / $764.39 / $1,266.96