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South Carolina rates for HCPCS 0623T

Auto Quan&Charac Coronary Atherosclerotic Plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.01 / $599.01 / $599.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $148.16 / $155.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.16 / $149.66 / $287.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.47 / $571.47 / $571.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.26 / $209.69 / $382.12