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South Carolina rates for HCPCS 63655

Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $11,481.54 / $27,542.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $19,498.45 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $14,791.08 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.54 / $144.54 / $144.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,949.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $46,773.51