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South Carolina rates for HCPCS 94012

Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $141.25 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $213.80 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $371.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $177.83 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $245.47