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South Carolina rates for HCPCS 63663

Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.27 / $1,285.27 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.35 / $5,187.72 / $11,591.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.96 / $1,740.00 / $8,435.83
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.27 / $1,013.77 / $1,621.49
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $141.93 / $227.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $17,186.00 / $24,161.00