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South Carolina rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $11.29 / $55.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $23.50 / $23.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $22.53 / $22.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $13.17 / $26.32