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South Carolina rates for HCPCS E1353

Regulator (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $21.84 / $21.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $21.84 / $27.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.56 / $54.61 / $141.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.86 / $25.17 / $25.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $29.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.84 / $34.51 / $69.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $229.00 / $229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $18.39 / $23.80