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South Carolina rates for HCPCS 55865

Expos Prostate Insj Radioac Sbst W/Bi Pelv Lymph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.75 / $3,676.40 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.99 / $1,712.75 / $2,225.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,578.74 / $14,578.74 / $14,578.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.11 / $2,422.00 / $4,046.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.19 / $1,873.87 / $3,478.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.52 / $1,806.11 / $2,947.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.45 / $1,236.49 / $2,032.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.61 / $1,806.63 / $3,434.21