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South Carolina rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.10 / $916.24 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $314.99 / $542.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.28 / $380.10 / $723.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.37 / $267.75 / $407.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $350.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.05 / $313.32 / $522.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.72 / $314.01 / $459.11
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 / $274.36 / $391.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.06 / $1,122.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.67 / $339.02 / $593.29