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South Carolina rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc Migraine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.21 / $707.20 / $7,796.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.95 / $152.97 / $317.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.36 / $165.53 / $248.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.20 / $564.09 / $1,001.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.45 / $153.30 / $274.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $112.11 / $208.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.30 / $189.86 / $318.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.25 / $180.05 / $295.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $116.76 / $116.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.83 / $167.31 / $271.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.96 / $159.07 / $350.92