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South Carolina rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.19 / $4,471.96 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.05 / $1,906.05 / $2,184.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.00 / $1,818.76 / $3,196.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.51 / $10,619.00 / $14,963.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.34 / $2,124.98 / $3,784.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.89 / $2,074.92 / $3,838.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.40 / $1,528.11 / $2,636.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.94 / $1,809.08 / $3,977.69