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South Carolina rates for HCPCS 21194

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.97 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.20 / $1,469.19 / $1,974.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,883.03 / $8,787.67 / $13,996.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.87 / $1,748.00 / $2,899.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,596.46 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.00 / $1,881.60 / $3,605.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.24 / $1,897.00 / $3,232.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $1,037.65 / $1,891.97
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
$1,190.67 / $1,544.04 / $3,155.16