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South Carolina rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.84 / $4,639.12 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.83 / $2,054.84 / $2,751.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.88 / $1,983.45 / $3,363.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.89 / $2,232.87 / $4,090.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.61 / $2,103.00 / $3,493.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.00 / $2,110.84 / $4,540.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.50 / $1,414.48 / $2,493.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.67 / $1,964.93 / $3,789.50