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South Carolina rates for HCPCS 99455

Work Related/Med Dblt Xm Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $84.95 / $84.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $228.30 / $228.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $275.00 / $300.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.76 / $90.00 / $133.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.76 / $90.00 / $180.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.30 / $320.00 / $320.00