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South Carolina rates for HCPCS 01916

Anesthesia for diagnostic arteriography/venography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$234.42 / $933.25 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$398.11 / $660.69 / $954.99
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$537.03 / $812.83 / $891.25
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$213.80 / $213.80 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$104.71 / $199.53 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$154.88 / $154.88 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$158.49 / $162.18 / $234.42
BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$186.21 / $302.00 / $407.38
BCBS
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$50.12 / $104.71 / $190.55
BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$120.23 / $208.93 / $323.59