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South Carolina rates for HCPCS 95125

Covers an allergy immunotherapy visit at the prescribing clinician's office, where a measured dose of the substance a patient reacts to is injected just under the skin, together with the supply of the allergen extract itself. Given repeatedly over months to years at gradually increasing strength, the treatment trains the immune system to react less strongly to that trigger. How many injections are given at the visit determines which version of the service applies.

Facilitymedian $15 · 10th–90th $15–$190%50%90th$15Professionalmedian $15 · 10th–90th $11–$190%50%10th90th$15$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $19.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $20.42 / $29.51
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.22 / $26.30