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South Carolina rates for HCPCS C9250

Human Plasma Fibrin Sealant Vapor-Heated Solvent Detergent (Artiss) 2 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.95 / $180.95 / $180.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.63 / $180.95 / $183.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.75 / $270.99 / $431.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.40 / $187.57 / $221.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.71 / $183.16 / $307.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.71 / $166.71 / $274.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00