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South Carolina rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.78 / $135.78 / $135.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $151.15 / $183.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.00 / $149.00 / $205.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $190.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.16 / $156.15 / $224.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.80 / $178.80 / $178.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $139.56 / $171.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $196.14 / $278.79