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South Carolina rates for HCPCS 35876

Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.64 / $9,622.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,608.58 / $9,413.49 / $16,208.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,829.28 / $3,829.28 / $4,920.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.48 / $1,459.08 / $2,213.55
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$173.22 / $218.68 / $242.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00