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South Carolina rates for HCPCS 64872

Suture Nerve Req Secondary/Delayed Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.53 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $130.66 / $156.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.51 / $8,455.28 / $14,557.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $184.00 / $287.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.16 / $505.00 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.68 / $166.54 / $255.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.86 / $165.05 / $259.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $113.57 / $180.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $129.29 / $293.77