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South Carolina rates for HCPCS 0686T

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,568.06 / $9,450.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.01 / $3,568.37 / $4,109.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $4,393.89 / $12,384.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.76 / $6,665.76 / $6,665.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,336.30 / $3,924.87 / $6,065.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,986.12 / $9,986.12 / $9,986.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,500.50 / $14,500.58 / $15,567.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,338.85 / $4,234.45 / $7,116.12