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South Carolina rates for HCPCS 22857

Total Disc Arthrp Ant Single Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.72 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.61 / $1,824.43 / $2,697.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,313.35 / $20,940.59 / $43,255.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.57 / $2,019.15 / $3,415.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,977.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.95 / $2,391.96 / $3,944.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.14 / $2,117.42 / $3,921.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.23 / $1,244.56 / $2,319.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $21,721.00 / $33,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.62 / $1,859.00 / $3,587.18