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South Carolina rates for HCPCS 84022

Assay Of Phenothiazine

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $16.22 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20