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South Carolina rates for HCPCS 64605

Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.52 / $4,375.00 / $14,221.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.80 / $596.97 / $901.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.54 / $3,647.71 / $7,044.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.00 / $484.55 / $875.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $580.00 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.58 / $675.83 / $1,229.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.00 / $725.80 / $1,180.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.71 / $1,300.71 / $1,300.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.82 / $806.20 / $1,336.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.43 / $672.11 / $1,464.55