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South Carolina rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.66 / $8.66 / $8.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.66 / $11.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $4.72 / $4.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $16.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $8.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $8.66 / $12.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.67 / $9.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.27 / $4.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $11.40 / $23.64