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South Carolina rates for HCPCS 0628T

Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.95 / $4,862.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.95 / $74.70 / $96.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.96 / $84.96 / $84.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.93 / $353.93 / $353.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.95 / $73.34 / $120.63
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
$65.54 / $89.55 / $197.42