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South Carolina rates for HCPCS 64734

Transection/Avulsion Infraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.99 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.79 / $522.87 / $650.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.85 / $4,452.39 / $7,418.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.99 / $513.45 / $859.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $592.57 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.56 / $624.29 / $1,135.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.51 / $583.00 / $1,111.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.71 / $1,300.71 / $1,300.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.90 / $461.59 / $783.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $4,877.00 / $9,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.14 / $512.13 / $1,162.99