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South Carolina rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.49 / $4,308.18 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.88 / $1,849.75 / $2,098.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.44 / $1,804.00 / $3,171.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,911.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.66 / $2,168.36 / $3,691.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.00 / $2,053.00 / $3,703.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.25 / $1,296.12 / $2,390.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.49 / $1,722.22 / $3,850.44