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South Carolina rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.38 / $689.15 / $5,621.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.45 / $285.64 / $516.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.59 / $214.33 / $330.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.80 / $358.08 / $691.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.16 / $244.16 / $368.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.90 / $327.90 / $327.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.05 / $283.91 / $452.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.45 / $285.18 / $413.16
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 / $226.31 / $342.30
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
$234.68 / $290.16 / $507.78