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South Carolina rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.30 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $183.24 / $266.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.98 / $405.05 / $629.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.51 / $235.00 / $282.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.14 / $213.14 / $213.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.19 / $186.34 / $272.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.92 / $199.85 / $278.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.99 / $214.99 / $214.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $184.50 / $238.17
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
$147.99 / $195.90 / $342.83