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South Carolina rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.49 / $787.92 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.86 / $363.49 / $563.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,347.67 / $6,299.51 / $10,537.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.31 / $340.80 / $558.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.54 / $1,677.54 / $1,677.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.47 / $488.53 / $814.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.86 / $452.00 / $700.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.31 / $1,376.31 / $1,376.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $290.43 / $476.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.77 / $476.58 / $757.14