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South Carolina rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.95 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.59 / $652.32 / $751.98
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
$544.91 / $1,068.00 / $1,546.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $669.01 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.59 / $832.78 / $1,312.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.40 / $841.41 / $1,327.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.03 / $644.07 / $1,006.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.06 / $664.01 / $1,438.32