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South Carolina rates for HCPCS E1355

Stand/Rack (Special Coverage Instructions Apply. See Cim: 60-4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.46 / $16.46 / $16.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $16.46 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $29.82 / $37.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.96 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $36.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.46 / $25.99 / $50.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.13 / $96.00 / $96.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $13.44 / $18.55