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South Carolina rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $8,709.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $4,897.79 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $741.31 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,760.83 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,258.93