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South Carolina rates for HCPCS 64763

Trnsxj/Avlsn Obturat Nrv Xpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.51 / $1,352.90 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.82 / $575.15 / $638.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.44 / $4,452.39 / $7,418.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.56 / $616.00 / $1,083.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.41 / $780.00 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.52 / $678.91 / $1,148.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.38 / $694.04 / $1,125.56
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 / $467.53 / $790.14
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
$421.43 / $591.98 / $1,221.79