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South Carolina rates for HCPCS 99284

Emergency Department Visit Moderate Mdm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.55 / $748.16 / $3,824.76
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$451.56 / $915.23 / $2,581.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.75 / $118.43 / $433.75
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$97.09 / $301.07 / $905.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.61 / $202.50 / $423.05
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$115.52 / $168.17 / $423.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.72 / $713.86 / $894.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $124.00 / $142.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.01 / $127.74 / $224.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.16 / $136.00 / $253.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.92 / $151.88 / $243.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $116.61 / $230.80