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South Carolina rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.69 / $620.69 / $620.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $52.62 / $66.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.42 / $1,795.59 / $3,481.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.74 / $59.37 / $93.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $59.37 / $61.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.63 / $82.18 / $102.00