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South Carolina rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.37 / $1,753.98 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.10 / $883.37 / $1,009.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.28 / $690.91 / $1,156.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.34 / $887.05 / $1,463.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.56 / $1,005.50 / $1,440.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.14 / $759.63 / $1,158.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.41 / $937.95 / $1,810.67