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South Carolina rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.08 / $5,891.66 / $9,727.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$353.31 / $353.31 / $801.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.58 / $3,561.15 / $6,060.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $472.05 / $1,370.63
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$328.83 / $328.83 / $328.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $510.00 / $882.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,679.00 / $9,900.00