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South Carolina rates for HCPCS 64822

Sympathectomy Ulnar Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.54 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.14 / $773.76 / $915.98
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 / $890.00 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.42 / $927.76 / $1,661.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.44 / $939.00 / $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
$561.41 / $727.11 / $1,656.19