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South Carolina rates for HCPCS 64625

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.72 / $9,062.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.90 / $418.66 / $545.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $2,271.36 / $4,782.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.07 / $473.77 / $707.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.28 / $1,512.28 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.84 / $512.27 / $931.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.72 / $545.87 / $886.14
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$518.79 / $989.01 / $1,342.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.71 / $1,300.71 / $1,300.71
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,951.06 / $1,951.06 / $1,951.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $384.88 / $608.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $631.97 / $1,166.41