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South Carolina rates for HCPCS 80155

Drug Assay Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $30.08 / $182.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $33.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.56 / $237.45 / $253.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.14 / $45.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.09 / $78.22 / $219.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $17.34 / $55.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $30.08 / $40.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $19.30 / $52.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.21 / $21.21 / $30.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $19.30 / $38.57