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South Carolina rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.73 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.27 / $167.73 / $241.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.88 / $357.74 / $595.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.72 / $225.00 / $318.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.82 / $235.73 / $344.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.35 / $273.66 / $392.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.14 / $167.68 / $227.20
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
$115.20 / $150.88 / $406.66