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South Carolina rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.15 / $1,470.66 / $1,470.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.15 / $381.15 / $425.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.41 / $1,930.84 / $3,323.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $668.24 / $850.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.09 / $1,416.63 / $2,947.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.66 / $335.59 / $919.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.82 / $682.72 / $908.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.76 / $268.76 / $268.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.24 / $332.49 / $535.07