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South Carolina rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.83 / $894.99 / $4,751.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.27 / $232.81 / $429.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $205.42 / $215.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.38 / $325.10 / $536.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $176.40 / $296.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.35 / $290.35 / $290.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.18 / $231.49 / $379.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.18 / $227.66 / $341.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $184.50 / $273.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,648.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $239.64 / $395.41