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South Carolina rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.94 / $433.33 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.68 / $159.05 / $283.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.38 / $355.89 / $595.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $161.15 / $281.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $188.28 / $270.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.38 / $191.09 / $281.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.36 / $163.28 / $225.56
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
$132.09 / $162.47 / $347.63