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South Carolina rates for HCPCS 79403

Rp Ther Radiolbld Monoclonal Antibody Iv Infus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $158.69 / $164.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.72 / $328.00 / $442.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.17 / $262.20 / $482.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $108.59 / $108.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $107.83 / $218.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.86 / $255.50 / $383.78