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South Carolina rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.40 / $852.42 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.55 / $182.45 / $226.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $1,652.14 / $2,887.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.68 / $219.00 / $317.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.88 / $780.00 / $781.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.83 / $216.83 / $371.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.40 / $234.25 / $350.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.62 / $671.62 / $671.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $187.67 / $290.58
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
$153.16 / $202.16 / $456.52