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South Carolina rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $140.87 / $213.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $14.54 / $14.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $17.00 / $25.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.89 / $54.06 / $106.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $21.48 / $26.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $14.54 / $24.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $14.91 / $18.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $14.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $16.78 / $22.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $22.37