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South Carolina rates for HCPCS G0175

Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.91 / $65.91 / $65.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $65.91 / $101.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00