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South Carolina rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.03 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.26 / $1,533.81 / $1,938.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.26 / $8,455.28 / $14,557.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.00 / $2,072.00 / $2,999.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $5,051.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.02 / $1,858.18 / $3,053.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.97 / $1,866.00 / $3,041.14
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
$149.51 / $1,057.87 / $1,904.18
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
$1,131.33 / $1,493.44 / $3,296.38