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South Carolina rates for HCPCS 38790

Injection Procedure Lymphangiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.31 / $4,375.00 / $9,870.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $375.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.39 / $165.70 / $993.85
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$155.30 / $337.67 / $2,203.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00