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South Carolina rates for HCPCS 64809

Sympathectomy Thoracolumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.66 / $2,836.15 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.32 / $1,194.97 / $1,268.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.12 / $1,249.00 / $2,141.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,249.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.12 / $1,250.67 / $2,413.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.85 / $1,268.66 / $2,431.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.38 / $857.53 / $1,581.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.75 / $1,112.50 / $2,524.51