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South Carolina rates for HCPCS 63664

Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.83 / $6,070.11 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.44 / $5,192.92 / $10,638.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.29 / $1,740.00 / $14,931.15
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.85 / $100.85 / $100.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.80 / $1,029.83 / $1,928.55
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$128.88 / $128.88 / $238.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $17,186.00 / $24,161.00