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South Carolina rates for HCPCS 69602

Revj Mastoidectomy Rsltg Modf Rad Mstdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.89 / $9,062.00 / $17,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.48 / $1,201.89 / $1,720.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,792.31 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.03 / $1,546.00 / $2,718.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.88 / $1,462.42 / $2,804.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.48 / $1,331.82 / $2,360.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $859.50 / $1,547.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.63 / $1,446.35 / $2,858.06