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South Carolina rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.14 / $7,799.00 / $11,119.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.34 / $1,174.83 / $1,632.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.84 / $870.84 / $870.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,289.22 / $8,245.94 / $14,361.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.01 / $1,223.00 / $2,150.40
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
$1,070.31 / $1,390.32 / $2,347.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $1,391.34 / $2,321.27
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 / $825.48 / $1,483.16
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
$867.42 / $1,164.96 / $2,527.41