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South Carolina rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.57 / $99.57 / $402.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.54 / $99.57 / $99.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $48.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.22 / $109.53 / $134.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19