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South Carolina rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.00 / $405.60 / $2,466.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.60 / $405.60 / $452.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,201.34 / $3,201.34 / $3,421.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $520.00 / $711.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.50 / $1,054.56 / $2,964.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.16 / $241.82 / $614.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.60 / $520.00 / $728.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.00 / $286.00 / $286.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $296.60 / $473.52