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South Carolina rates for HCPCS 64553

Prq Impltj Neurostimulator Eltrd Cranial Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.49 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.88 / $460.49 / $2,893.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,173.92 / $15,212.42 / $26,024.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $405.66 / $3,474.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $770.04 / $14,863.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.39 / $364.32 / $3,907.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.27 / $460.49 / $3,722.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,669.29 / $15,669.29 / $15,669.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.34 / $3,296.70 / $5,494.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $20,341.00 / $27,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.17 / $1,660.12 / $4,689.68