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South Carolina rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.97 / $3,521.11 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.21 / $1,280.21 / $2,048.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.98 / $2,278.00 / $3,445.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.96 / $1,787.24 / $2,959.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.31 / $1,999.82 / $3,082.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.74 / $1,247.63 / $1,981.05
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
$1,269.41 / $1,761.80 / $3,420.89