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South Carolina rates for HCPCS G6057

Phenothiazine

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $26.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $14.56 / $21.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00