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South Carolina rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Facilitymedian $275 · 10th–90th $30–$6610%10%20%10th90th$275Professionalmedian $30 · 10th–90th $30–$300%50%$30$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $63.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $54.95