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South Carolina rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.99 / $1,165.09 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.26 / $235.82 / $297.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.22 / $1,652.14 / $2,859.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.86 / $252.00 / $408.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.19 / $505.00 / $781.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.29 / $294.33 / $499.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.85 / $297.99 / $478.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.62 / $671.62 / $671.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.53 / $254.51 / $410.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.24 / $260.91 / $577.61