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South Carolina rates for HCPCS 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.49 / $4,357.50 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.99 / $849.48 / $1,395.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.27 / $1,185.27 / $1,185.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.66 / $5,074.05 / $8,981.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.16 / $702.49 / $1,086.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.44 / $904.51 / $1,206.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.35 / $895.00 / $1,262.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.41 / $1,397.41 / $1,397.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $566.18 / $937.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.36 / $6,172.00 / $9,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.53 / $827.12 / $1,447.46