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South Carolina rates for HCPCS 87255

Virus Id Non-Immunologic Oth/Thn Cytopathic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.41 / $84.00 / $200.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.09 / $30.25 / $30.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $54.74 / $168.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $33.86 / $55.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $98.16 / $203.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $21.27 / $49.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.30 / $32.58 / $63.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $35.00 / $40.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $26.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $20.32 / $45.92