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South Carolina rates for HCPCS 22869

Insj Stablj Dev W/O Dcmprn Lumbar Single Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.63 / $5,866.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,821.65 / $19,232.43 / $34,283.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.30 / $890.00 / $17,785.03
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$48.50 / $48.50 / $48.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.11 / $695.28 / $1,010.41
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.83 / $101.24 / $133.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00