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South Carolina rates for HCPCS 42975

Dise Dyn Eval Sleep Disordered Breathing Flx Dx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $5,279.65 / $11,780.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $113.82 / $305.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.10 / $161.10 / $161.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.12 / $1,146.35 / $1,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $136.00 / $239.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.90 / $1,007.90 / $1,295.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.29 / $160.63 / $249.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.14 / $129.19 / $234.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.30 / $891.75 / $891.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $116.92 / $181.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $173.00 / $278.62