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South Carolina rates for HCPCS 49465

Contrast Injection Perq Radiologic Eval Gi Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.51 / $556.50 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.45 / $70.58 / $195.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $29.96 / $41.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.32 / $357.31 / $699.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $38.61 / $180.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.01 / $213.01 / $213.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $87.25 / $299.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.35 / $188.56 / $308.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $489.55
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
$143.63 / $183.59 / $347.08