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South Carolina rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $69.18 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $17.78 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $97.72 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $34.67 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $64.57 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.85 / $36.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $29.51 / $53.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $25.70 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $16.22 / $35.48