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South Carolina rates for HCPCS C1052

Hemostatic Agent, Gi, Topic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.23 / $660.98 / $660.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.27 / $859.27 / $859.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00