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South Carolina rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.85 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.55 / $2,026.85 / $2,697.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,683.16 / $2,683.16 / $2,683.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.00 / $4,545.93 / $8,090.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.97 / $1,573.92 / $2,248.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.63 / $1,740.00 / $1,979.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.96 / $2,508.02 / $4,437.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.53 / $2,173.51 / $4,098.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.83 / $1,168.83 / $1,168.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.01 / $1,870.72 / $2,879.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $3,866.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.76 / $1,988.11 / $3,916.70