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South Carolina rates for HCPCS 61697

Complx Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,887.76 / $9,062.00 / $16,467.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,005.60 / $5,027.28 / $9,568.01
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$956.40 / $982.53 / $1,486.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00