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South Carolina rates for HCPCS 64856

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.08 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.62 / $1,123.53 / $1,395.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,416.73 / $8,269.29 / $14,557.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.24 / $1,132.04 / $1,972.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $5,051.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.21 / $1,360.84 / $2,252.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.40 / $1,322.52 / $2,228.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,935.14 / $3,935.14 / $3,935.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.01 / $781.03 / $1,412.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.96 / $1,097.43 / $2,644.05