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South Carolina rates for HCPCS 64896

Nerve Graft Mlt Strands Hand/Foot > 4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.53 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.19 / $1,594.62 / $1,918.03
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
$1,323.62 / $1,945.00 / $2,870.87
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
$1,493.97 / $1,932.15 / $3,174.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.00 / $1,862.00 / $3,162.39
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 / $1,129.11 / $2,032.41
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
$1,176.96 / $1,542.10 / $3,429.33