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South Carolina rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.56 / $4,230.00 / $8,041.28
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$78.66 / $147.28 / $321.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $270.93 / $593.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.51 / $130.51 / $130.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.70 / $2,308.96 / $4,036.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.01 / $274.74 / $499.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,007.90 / $1,295.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.35 / $273.29 / $489.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.32 / $322.92 / $479.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.90 / $891.75 / $1,036.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.54 / $299.85 / $467.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.27 / $332.90 / $647.24