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South Carolina rates for HCPCS 64555

Prq Impltj Neurostimulator Eltrd Peripheral Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.87 / $4,422.25 / $9,358.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.88 / $426.60 / $2,471.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.77 / $326.77 / $544.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,117.06 / $14,938.39 / $26,024.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.00 / $303.97 / $1,920.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $890.00 / $9,570.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $353.26 / $3,356.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.68 / $383.25 / $3,014.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,703.15 / $7,703.15 / $7,703.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.45 / $1,844.78 / $3,063.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,134.00 / $27,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.89 / $1,537.42 / $4,306.89