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South Carolina rates for HCPCS 13120

Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.81 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.34 / $301.75 / $542.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $160.00
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
$213.57 / $282.00 / $420.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $536.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.74 / $328.14 / $514.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $330.02 / $461.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.30 / $427.30 / $427.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $274.36 / $391.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,122.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.17 / $338.88 / $593.04