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South Carolina rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.24 / $4,862.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.25 / $926.02 / $978.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $989.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.91 / $2,832.91 / $2,832.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.38 / $829.24 / $1,754.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.58 / $754.64 / $1,751.31