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South Carolina rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.16 / $161.16 / $161.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.28 / $161.16 / $268.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.32 / $360.27 / $433.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.03 / $302.83 / $334.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $257.41 / $302.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.32 / $259.00 / $517.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.00 / $202.00 / $218.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $256.16 / $261.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $178.13 / $256.16