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South Carolina rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.00 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.95 / $208.00 / $323.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.03 / $1,729.68 / $3,166.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.23 / $207.06 / $361.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $375.00 / $781.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.84 / $275.11 / $464.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.08 / $293.33 / $450.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.62 / $671.62 / $671.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.55 / $204.20 / $317.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,682.00 / $7,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.07 / $244.66 / $500.11