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South Carolina rates for HCPCS A4290

Sacral Nerve Stimulation Test Lead Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $117.00 / $117.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $71.51 / $150.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $128.00 / $128.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $83.89 / $111.85