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South Carolina rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.14 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.67 / $879.21 / $1,041.80
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
$635.64 / $769.29 / $1,020.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $901.69 / $2,581.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.33 / $1,055.30 / $1,900.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.44 / $1,072.57 / $1,735.62
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 / $716.30 / $1,208.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,114.00 / $12,271.00 / $22,523.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.74 / $866.85 / $2,089.96