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South Carolina rates for HCPCS 96573

Pdt Dstr Prmlg Les Skn Illum/Activj By Phys/Qhp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.66 / $228.66 / $633.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $228.66 / $377.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.28 / $210.28 / $210.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.10 / $306.14 / $943.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $90.00 / $235.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.54 / $175.54 / $175.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.17 / $213.65 / $309.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.61 / $216.58 / $274.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.75 / $193.49 / $262.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $1,138.00 / $2,922.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.02 / $198.79 / $304.31