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South Carolina rates for HCPCS Q4174

Palingen Or Promatrx 0.36 Mg Per 0.25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.08 / $1,225.08 / $1,225.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.20 / $1,225.08 / $1,269.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.69 / $239.48 / $290.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.08 / $1,519.10 / $2,058.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.90 / $1,521.90 / $1,521.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.64 / $1,313.64 / $1,379.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.40 / $1,245.00 / $1,369.50