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South Carolina rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.54 / $8,783.00 / $16,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,407.91 / $12,472.59 / $19,677.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.81 / $2,345.00 / $14,963.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$14.95 / $14.95 / $14.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $194.36 / $312.64
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$24.44 / $30.10 / $42.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00