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South Carolina rates for HCPCS 64897

Nerve Graft Mlt Strands Arm/Leg <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.83 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.48 / $1,413.75 / $1,710.87
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
$1,173.58 / $1,606.00 / $2,691.43
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
$1,395.54 / $1,708.90 / $2,815.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.00 / $1,701.71 / $2,800.94
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 / $979.45 / $1,773.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.00 / $17,333.00 / $25,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.51 / $1,375.44 / $3,037.57