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South Carolina rates for HCPCS 63042

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,952.08 / $7,799.00 / $16,171.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,245.35 / $11,396.22 / $19,354.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.67 / $5,740.31 / $14,963.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.47 / $146.47 / $146.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.73 / $1,728.00 / $2,949.58
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,309.57 / $2,612.44 / $4,600.50
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$307.94 / $348.32 / $613.40
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$215.56 / $243.83 / $429.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $17,146.00 / $24,161.00