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South Carolina rates for HCPCS G0458

Ldr prostate brachy comp rat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.35 / $401.36 / $684.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $33.00 / $67.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00