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South Carolina rates for HCPCS 13133

Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.63 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.59 / $153.32 / $263.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.38 / $165.38 / $165.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.19 / $756.72 / $1,360.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.03 / $153.84 / $210.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.59 / $173.82 / $265.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.73 / $164.44 / $232.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.36 / $163.28 / $225.56
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
$125.81 / $167.60 / $293.30