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South Carolina rates for HCPCS 64821

Sympathectomy Radial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.69 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $773.76 / $916.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,041.58 / $6,537.29 / $11,190.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.50 / $816.88 / $1,387.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $1,100.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.42 / $929.56 / $1,662.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.32 / $943.00 / $1,525.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.91 / $2,144.91 / $2,144.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.90 / $626.42 / $1,050.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.41 / $723.60 / $1,656.19