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South Carolina rates for HCPCS 64893

Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,244.36 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,943.28 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,398.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,570.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,479.11 / $2,454.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $16,982.44 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $1,949.84