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South Carolina rates for HCPCS 61703

Icra Crv Appl Occluding Clamp Crv Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.64 / $3,551.13 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.68 / $1,581.64 / $2,111.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.32 / $1,521.00 / $2,674.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.66 / $1,753.80 / $3,450.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.68 / $1,715.36 / $3,044.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.03 / $1,216.83 / $2,063.18
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
$1,268.21 / $1,709.32 / $3,579.23