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South Carolina rates for HCPCS 64890

Nerve Graft 1 Strand Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.86 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.47 / $1,204.31 / $1,485.90
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
$1,001.43 / $1,419.00 / $2,317.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $6,402.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.08 / $1,454.84 / $2,402.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $1,452.07 / $2,384.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,123.00 / $5,123.00 / $5,123.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.01 / $833.63 / $1,520.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $15,713.00 / $25,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.58 / $1,163.42 / $2,586.15