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South Carolina rates for HCPCS 64505

Injection Anes Agent Sphenopalatine Ganglion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.64 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.83 / $120.64 / $165.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.69 / $656.64 / $1,006.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.29 / $126.00 / $197.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.61 / $178.35 / $580.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.09 / $135.80 / $272.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.39 / $150.00 / $250.52
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$182.49 / $225.00 / $375.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.13 / $139.13 / $139.13
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$208.71 / $208.71 / $208.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $148.85 / $228.07
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
$97.98 / $130.06 / $297.69