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South Carolina rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $26.30 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $38.02 / $75.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $33.11 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $32.36 / $33.88