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South Carolina rates for HCPCS 64643

Chemodenervation 1 Extremity Ea Addl 1-4 Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.19 / $2,757.40 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $84.79 / $184.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $68.95 / $153.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.36 / $129.85 / $196.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $118.00 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.71 / $120.17 / $188.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.19 / $121.00 / $183.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $75.30 / $117.88
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
$76.51 / $103.21 / $219.41