go back

South Carolina rates for HCPCS 69725

Dcmprn Nrv Intratemporal Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.04 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.94 / $2,064.04 / $2,946.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.00 / $9,528.23 / $16,900.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.61 / $2,039.65 / $3,153.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $815.00 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.28 / $2,534.44 / $4,815.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.92 / $2,338.39 / $4,084.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.35 / $1,476.23 / $2,657.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $17,333.00 / $25,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.81 / $2,516.46 / $4,567.60