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South Carolina rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.23 / $4,751.00 / $9,198.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.45 / $3,523.62 / $6,158.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $585.12 / $1,158.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.22 / $626.00 / $1,052.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00