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South Carolina rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.45 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.13 / $544.95 / $1,007.79
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
$388.50 / $602.00 / $794.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.53 / $350.53 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.26 / $554.53 / $930.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.13 / $572.82 / $790.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.00 / $282.00 / $282.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $489.12 / $694.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $1,138.00 / $2,922.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.56 / $577.30 / $1,011.48