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South Carolina rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $5,370.32 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $912.01 / $3,162.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $11,220.18 / $24,547.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $954.99 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $776.25 / $3,630.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $5,370.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $758.58 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $20,892.96 / $30,902.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,174.90 / $2,398.83