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South Carolina rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.94 / $406.00 / $3,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.91 / $124.14 / $207.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.47 / $121.47 / $121.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.85 / $351.97 / $536.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.86 / $110.00 / $209.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.67 / $140.81 / $205.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.65 / $142.79 / $226.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $97.39 / $134.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.22 / $122.86 / $238.45