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South Carolina rates for HCPCS 94772

Circadian Respiratry Pattern Rec 12-24 Hr Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.64 / $313.64 / $313.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $288.13 / $313.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.91 / $717.31 / $1,127.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $248.58 / $400.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.38 / $353.38 / $469.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.37 / $401.53 / $659.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.00 / $326.14 / $475.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $326.14 / $326.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $199.04 / $261.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.05 / $294.58 / $471.77