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South Carolina rates for HCPCS 00104

Anesthesia Electroconvulsive Therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$770.10 / $880.60 / $1,006.40
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$138.46 / $148.84 / $148.84
BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$140.00 / $234.00 / $340.72