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South Carolina rates for HCPCS 20663

Application Halo Femoral Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.39 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.42 / $491.81 / $598.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,983.96 / $5,785.77 / $9,702.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.52 / $513.78 / $900.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.66 / $580.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.22 / $585.74 / $1,061.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $600.00 / $1,033.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $347.56 / $659.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.21 / $515.53 / $1,012.90