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South Carolina rates for HCPCS 64417

Injection Aa&/Strd Axillary Nerve W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.04 / $1,158.75 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.25 / $114.75 / $185.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.15 / $983.24 / $1,768.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.29 / $126.25 / $199.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.60 / $375.00 / $781.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.51 / $144.49 / $267.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.04 / $156.63 / $286.73
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$170.22 / $303.35 / $445.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.62 / $671.62 / $671.62
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,007.42 / $1,007.42 / $1,007.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $148.85 / $228.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.57 / $147.69 / $327.55