go back

South Carolina rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.35 / $1,854.71 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.34 / $160.84 / $275.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.74 / $700.22 / $1,108.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.92 / $160.22 / $238.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.52 / $183.52 / $183.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $157.90 / $252.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.91 / $182.18 / $270.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.52 / $191.52 / $191.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $129.19 / $177.11
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
$113.18 / $150.02 / $278.33