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South Carolina rates for HCPCS 64454

Injection Aa&/Strd Genicular Nrv Branches W/Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.53 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.18 / $178.61 / $255.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.76 / $196.95 / $245.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.37 / $607.82 / $890.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$112.30 / $112.30 / $112.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.99 / $214.23 / $419.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.53 / $255.49 / $386.34
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$218.96 / $423.38 / $579.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.54 / $275.54 / $275.54
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$413.31 / $413.31 / $413.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.04 / $260.06 / $400.21
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
$174.67 / $231.99 / $499.32