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South Carolina rates for HCPCS 61791

Create Les Strtctc Prq Neurolytic Trigeminal Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.46 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.19 / $1,312.46 / $1,752.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.99 / $3,295.54 / $5,824.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.00 / $1,124.40 / $1,666.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,176.85 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.54 / $1,472.72 / $2,862.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.19 / $1,435.06 / $2,518.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.98 / $1,041.24 / $1,300.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.82 / $890.66 / $1,618.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.00 / $10,147.00 / $16,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.95 / $1,457.43 / $2,936.71