go back

South Carolina rates for HCPCS 87633

Iadna Respiratry Probe & Rev Trnscr 12-25 Target

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.08 / $590.79 / $2,575.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.27 / $333.42 / $541.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.06 / $200.93 / $2,850.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $519.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.46 / $1,026.75 / $2,376.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.17 / $286.55 / $797.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.80 / $481.25 / $687.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.23 / $229.23 / $229.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $283.58 / $429.68