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South Carolina rates for HCPCS 96921

Excimer Laser Tx Psoriasis 250-500 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.80 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.19 / $166.83 / $221.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.55 / $405.05 / $629.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $170.00 / $220.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.54 / $175.54 / $175.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.23 / $129.29 / $204.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.30 / $165.11 / $368.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.33 / $161.47 / $222.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $169.16 / $250.36