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South Carolina rates for HCPCS 21193

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.47 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.53 / $1,246.43 / $1,582.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.00 / $9,201.85 / $16,786.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.51 / $1,508.00 / $2,682.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,381.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.25 / $1,667.35 / $2,735.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.00 / $1,669.04 / $2,813.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $870.68 / $1,620.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,223.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.03 / $1,337.75 / $2,729.73