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South Carolina rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.25 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.64 / $1,249.09 / $1,517.60
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
$1,039.11 / $1,518.00 / $2,407.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $5,051.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.70 / $1,511.38 / $2,492.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.09 / $1,506.72 / $2,474.55
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
$107.01 / $884.25 / $1,592.78
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
$931.03 / $1,267.57 / $2,683.19