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South Carolina rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Facilitymedian $251 · 10th–90th $24–$2510%50%10th$251Professionalmedian $14 · 10th–90th $10–$300%10%20%10th90th$14$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $28.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $25.70