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South Carolina rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.48 / $111.97 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.03 / $71.79 / $114.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.29 / $280.37 / $434.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $61.20 / $90.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.97 / $86.63 / $155.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.48 / $93.34 / $149.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.25 / $46.25 / $46.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $75.30 / $118.77
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
$65.67 / $98.12 / $184.41