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South Carolina rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $281.84 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $123.03 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $288.40 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $56.23 / $165.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $102.33 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $95.50