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South Carolina rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $186.21 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $275.42