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South Carolina rates for HCPCS 90964

Esrd Svc Home Dialysis Full Month 2-11 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.39 / $516.69 / $584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.01 / $518.00 / $793.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.82 / $608.79 / $1,122.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.11 / $527.94 / $874.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.87 / $522.72 / $1,130.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.50 / $599.87 / $941.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.34 / $464.73 / $774.50