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South Carolina rates for HCPCS Q0163

Diphenhydramine Hcl 50mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $8.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $2.21 / $7.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.06 / $1.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02