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South Carolina rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.05 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.36 / $492.11 / $610.69
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
$417.85 / $554.00 / $881.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $506.28 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.57 / $623.89 / $1,008.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $612.00 / $1,019.55
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 / $409.38 / $701.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.33 / $505.56 / $1,092.10