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South Carolina rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.98 / $4,729.22 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.46 / $2,198.98 / $2,523.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.03 / $2,456.00 / $3,505.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.44 / $2,288.98 / $3,933.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.93 / $2,542.00 / $3,785.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.29 / $1,347.50 / $2,257.69
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
$1,573.70 / $2,596.61 / $4,548.78