go back

South Carolina rates for HCPCS 90957

Esrd Related Svc Monthly 12-19 Yr Old 4/> Visits

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.54 / $759.82 / $952.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $592.12 / $861.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.54 / $852.76 / $1,615.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.62 / $738.07 / $1,223.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.17 / $730.93 / $1,529.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.90 / $826.58 / $1,311.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.35 / $639.57 / $1,055.78