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South Carolina rates for HCPCS 64421

Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $726.63 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $38.75 / $190.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.13 / $33.13 / $33.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.29 / $1,652.14 / $2,859.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.98 / $135.00 / $289.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $375.00 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $122.03 / $311.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $110.08 / $381.39
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$52.90 / $363.99 / $591.00
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
$32.34 / $40.43 / $63.07
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
$28.01 / $85.15 / $319.36