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South Carolina rates for HCPCS 30903

Control Nasal Hemorrhage Anterior Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.93 / $292.81 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.54 / $156.53 / $380.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$55.99 / $55.99 / $473.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.09 / $298.54 / $544.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.37 / $152.43 / $263.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.77 / $88.77 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.54 / $198.06 / $435.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.92 / $216.72 / $425.36
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$207.97 / $370.50 / $638.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $78.54 / $92.00
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.06 / $72.06 / $138.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.04 / $261.93 / $404.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $1,138.00 / $2,922.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.61 / $261.69 / $621.02