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South Carolina rates for HCPCS 69719

Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.32 / $12,235.00 / $23,598.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.46 / $709.32 / $709.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,178.12 / $12,593.29 / $16,458.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.29 / $1,058.00 / $1,860.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,449.26 / $13,449.26 / $17,282.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.90 / $877.57 / $1,654.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.91 / $857.61 / $1,341.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,899.40 / $11,899.40 / $12,344.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $576.80 / $953.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.54 / $878.32 / $1,577.69