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South Carolina rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $1,477.97 / $4,862.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.33 / $242.89 / $508.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.10 / $110.30 / $194.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.28 / $1,589.98 / $3,027.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.79 / $268.00 / $396.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.18 / $263.61 / $475.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.56 / $320.42 / $507.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.76 / $933.76 / $933.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.42 / $246.62 / $373.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.82 / $270.24 / $509.42