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South Carolina rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.63 / $4,862.00 / $10,131.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.31 / $223.58 / $359.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.11 / $4,546.42 / $8,581.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.18 / $197.31 / $299.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.12 / $580.00 / $3,179.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.73 / $290.75 / $584.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.48 / $308.70 / $658.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,955.84 / $2,955.84 / $2,955.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.50 / $240.57 / $374.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.54 / $302.11 / $627.13