go back

South Carolina rates for HCPCS 63709

Rpr Dural/Csf Leak/Pseudomeningocele W/Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.24 / $2,906.76 / $16,467.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,271.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.10 / $1,422.25 / $2,444.04
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$176.25 / $198.80 / $322.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,107.00 / $8,818.00