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South Carolina rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.05 / $819.87 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.88 / $397.68 / $608.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.57 / $830.24 / $1,357.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.57 / $403.00 / $589.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.11 / $416.43 / $722.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.89 / $438.44 / $629.64
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 / $424.92 / $615.89
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
$351.66 / $462.68 / $763.42