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South Carolina rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.83 / $299.83 / $588.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $299.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.41 / $191.97 / $323.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $169.74 / $209.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.21 / $149.68 / $615.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.62 / $315.00 / $431.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00