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South Carolina rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.23 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.66 / $1,208.49 / $1,488.43
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
$997.91 / $1,429.00 / $2,309.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $1,100.00 / $6,402.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.70 / $1,510.00 / $2,435.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.00 / $1,472.26 / $2,401.34
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
$139.80 / $954.73 / $1,594.17
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
$903.39 / $1,264.75 / $2,614.76