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South Carolina rates for HCPCS 42550

Injection Procedure Sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.54 / $111.52 / $183.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.77 / $65.77 / $65.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.48 / $105.30 / $186.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $150.08 / $316.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $184.55 / $708.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.79 / $573.79 / $573.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.95 / $140.97 / $212.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.44 / $160.38 / $308.52