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South Carolina rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,233.63 / $7,285.29 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,701.44 / $3,110.62 / $3,733.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.00 / $2,313.35 / $2,916.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.94 / $3,316.00 / $5,512.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,345.00 / $10,619.00 / $14,963.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.53 / $3,632.82 / $6,151.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,841.64 / $3,531.00 / $6,290.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.32 / $2,164.74 / $4,005.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $19,915.00 / $30,476.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.80 / $2,947.11 / $6,502.35