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South Carolina rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.32 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.14 / $517.22 / $912.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.57 / $829.92 / $1,357.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.42 / $457.00 / $679.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.91 / $490.96 / $785.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.11 / $499.78 / $705.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.41 / $1,397.41 / $1,397.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.34 / $424.92 / $615.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.80 / $509.33 / $840.39