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South Carolina rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $87.67 / $98.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $179.27 / $257.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.28 / $100.28 / $100.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.63 / $124.16 / $210.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.72 / $136.54 / $213.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $153.00 / $320.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $112.99 / $178.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.91 / $89.06 / $143.51