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South Carolina rates for HCPCS 65114

Exntj Orbit Rmvl Orb Cnts W/Musc/Myoq Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,973.38 / $9,622.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.34 / $1,775.53 / $1,973.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.76 / $9,263.14 / $15,459.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.15 / $1,631.76 / $2,758.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $1,130.00 / $2,594.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.29 / $1,819.90 / $3,727.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.00 / $1,762.25 / $2,664.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.00 / $1,503.00 / $2,174.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.31 / $1,068.55 / $1,721.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $12,456.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.64 / $1,568.14 / $2,579.03