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South Carolina rates for HCPCS 64492

Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.05 / $659.40 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $88.23 / $135.38
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$149.09 / $157.44 / $265.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $97.60 / $97.60
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$146.41 / $146.41 / $149.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.75 / $621.22 / $1,012.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.54 / $126.06 / $276.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $102.18 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $121.47 / $186.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.05 / $119.57 / $184.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $112.07 / $172.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.11 / $110.76 / $231.88