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South Carolina rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $4,265.80 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $218.78 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,365.16 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $575.44 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $275.42 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $281.84 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $467.74