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South Carolina rates for HCPCS 61720

Crtj Les Strtctc Burr Globus Pallidus/Thalamus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.87 / $3,319.93 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.22 / $1,479.87 / $1,976.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,289.22 / $8,269.29 / $14,557.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.20 / $1,934.00 / $3,400.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.59 / $1,689.99 / $3,228.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.22 / $1,627.86 / $2,846.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.03 / $1,135.75 / $1,909.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.39 / $1,633.81 / $3,350.32