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South Carolina rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.00 / $7,796.00 / $9,930.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,416.73 / $8,226.15 / $14,361.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $780.00 / $5,051.60
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.31 / $1,320.38 / $2,247.30
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$147.41 / $187.04 / $306.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $15,713.00 / $25,628.00