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South Carolina rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.45 / $8,783.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.07 / $917.58 / $1,729.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,511.30 / $11,396.22 / $19,507.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.26 / $937.35 / $1,613.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $2,345.00 / $14,963.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $1,083.42 / $1,910.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.91 / $1,048.00 / $1,891.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $664.22 / $1,242.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,526.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.96 / $921.91 / $2,048.21