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South Carolina rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.53 / $2,416.37 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.00 / $858.70 / $1,150.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.54 / $5,405.49 / $8,981.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $704.67 / $1,060.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $580.00 / $1,604.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.83 / $932.47 / $1,248.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.67 / $877.28 / $1,282.65
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 / $580.78 / $956.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $5,249.00 / $9,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.04 / $862.56 / $1,509.48