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South Carolina rates for HCPCS 96405

Chemotherapy Administration Intralesional </7

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $85.72 / $122.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.12 / $53.04 / $116.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $79.56 / $79.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.16 / $125.39 / $208.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.84 / $51.27 / $95.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $221.70 / $399.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.27 / $82.97 / $154.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.78 / $84.45 / $148.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $119.00 / $204.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $112.28 / $174.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $87.35 / $147.69