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South Carolina rates for HCPCS 15770

Graft Derma-Fat-Fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.91 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.08 / $686.14 / $1,083.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.54 / $5,540.43 / $9,383.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.88 / $755.00 / $1,125.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $3,200.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.49 / $752.06 / $1,021.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.57 / $746.90 / $984.03
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$87.08 / $106.52 / $126.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.87 / $2,872.87 / $2,872.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $430.40 / $715.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.26 / $640.47 / $1,586.23