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South Carolina rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.05 / $4,992.39 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.76 / $947.29 / $1,565.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.77 / $3,823.68 / $6,494.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.07 / $1,053.00 / $1,389.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.50 / $1,031.29 / $1,394.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.44 / $1,008.00 / $1,450.93
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
$97.39 / $671.30 / $1,113.46
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
$728.81 / $954.00 / $1,583.47