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South Carolina rates for HCPCS 22633

Arthrodesis Combined Tq 1ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.34 / $10,444.00 / $32,197.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.00 / $11,453.79 / $33,569.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $2,059.71
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,274.33 / $1,274.33 / $1,274.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$203.90 / $203.90 / $203.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,010.84 / $2,357.39 / $4,106.46
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$471.48 / $471.48 / $844.30
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$330.03 / $330.03 / $591.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,960.00 / $23,503.00 / $33,519.00