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South Carolina rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.80 / $83.00 / $98.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.63 / $275.00 / $646.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.50 / $61.26 / $297.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$64.55 / $137.50 / $137.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.60 / $192.00 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.57 / $99.80 / $126.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.00 / $40.85 / $68.02
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.50 / $111.17 / $111.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $284.00 / $455.87
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.00 / $101.00 / $149.32
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.41 / $183.00 / $320.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $246.24 / $425.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.25 / $64.93 / $109.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.08 / $188.68 / $306.83
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.80 / $95.00 / $155.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.83 / $88.83 / $475.09
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.04 / $149.04 / $149.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $118.03 / $176.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $213.66 / $389.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.28 / $57.24 / $96.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.64 / $149.18 / $288.93