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South Carolina rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.92 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.48 / $1,480.22 / $1,785.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.26 / $8,455.28 / $14,557.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.23 / $1,688.00 / $2,784.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $890.00 / $5,051.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.58 / $1,779.16 / $2,946.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.00 / $1,720.00 / $2,931.32
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
$149.51 / $1,030.38 / $1,855.93
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
$1,091.51 / $1,465.12 / $3,180.35