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South Carolina rates for HCPCS 64802

Sympathectomy Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.68 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.37 / $863.40 / $984.68
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
$730.00 / $810.48 / $1,298.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.01 / $971.89 / $1,873.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.26 / $971.28 / $1,856.10
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
$74.20 / $664.57 / $1,217.80
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
$597.39 / $821.84 / $1,636.92