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South Carolina rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,923.98 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,281.38 / $2,923.98 / $4,212.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.21 / $5,405.49 / $8,981.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.17 / $3,418.00 / $4,543.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $715.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,302.58 / $2,987.20 / $4,117.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,513.59 / $3,051.58 / $4,102.00
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
$267.17 / $1,776.92 / $2,949.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,249.00 / $9,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.83 / $2,635.00 / $4,548.47