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South Carolina rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.81 / $1,384.46 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.67 / $332.69 / $601.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.94 / $156.94 / $156.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.40 / $357.68 / $595.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.09 / $344.93 / $471.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.55 / $332.84 / $553.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.09 / $344.00 / $498.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.34 / $306.93 / $454.36
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
$270.82 / $357.13 / $624.98