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South Carolina rates for HCPCS 64891

Nerve Graft 1 Strand Hand/Foot >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.56 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.14 / $1,280.43 / $1,540.95
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
$1,064.67 / $1,366.00 / $2,247.09
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
$1,140.58 / $1,538.82 / $2,554.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.60 / $1,409.00 / $2,536.32
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
$139.80 / $1,026.09 / $1,720.38
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
$944.20 / $1,228.10 / $2,959.70