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South Carolina rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,632.84 / $9,062.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,783.09 / $10,824.58 / $17,240.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.66 / $10,619.00 / $14,963.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.84 / $1,745.00 / $3,141.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00