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South Carolina rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,047.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,187.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $446.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $794.33 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $912.01