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South Carolina rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.66 / $9,062.00 / $18,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.38 / $1,429.32 / $1,885.61
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
$1,229.74 / $1,861.00 / $2,693.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.00 / $890.00 / $1,490.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.22 / $1,838.21 / $3,064.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.38 / $1,715.00 / $3,102.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.60 / $972.62 / $1,755.22
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
$1,131.17 / $1,518.54 / $2,961.57