go back

South Carolina rates for HCPCS 64788

Exc Neurofibroma/Neurolemmoma Cutan Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.35 / $3,655.40 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.24 / $445.29 / $666.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.28 / $4,408.50 / $7,418.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.64 / $438.10 / $738.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.98 / $580.00 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.20 / $535.33 / $902.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.99 / $476.00 / $880.77
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 / $368.70 / $616.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.58 / $425.22 / $957.40