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South Carolina rates for HCPCS 21195

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.54 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.66 / $1,406.22 / $1,802.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,566.14 / $9,602.04 / $16,952.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.84 / $1,564.50 / $2,658.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $1,496.15 / $6,392.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.66 / $1,790.00 / $3,076.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.00 / $1,774.00 / $3,127.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $942.16 / $1,749.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,298.00 / $15,713.00 / $25,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.43 / $1,469.94 / $2,969.23