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South Carolina rates for HCPCS 13102

Repair Complex Trunk Each Additional 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.66 / $322.39 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $98.81 / $186.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.35 / $105.35 / $105.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.15 / $1,063.98 / $1,835.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $91.00 / $144.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $107.54 / $178.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.42 / $104.84 / $150.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $97.39 / $134.20
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
$87.64 / $114.60 / $208.44