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South Carolina rates for HCPCS E0300

Pediatric Crib Hospital Grade Fully Enclosed With Or Without Top Enclosure (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.99 / $1,748.99 / $1,748.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.99 / $1,748.99 / $2,213.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.94 / $2,329.94 / $2,329.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,655.48 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.27 / $1,950.00 / $1,950.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.77 / $1,748.99 / $2,725.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,555.00 / $2,555.00 / $2,555.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.55 / $1,250.81 / $2,055.16