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South Carolina rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $83.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.84 / $275.00 / $559.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $71.18 / $124.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.78 / $220.00 / $473.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.76 / $60.16 / $100.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.71 / $391.47 / $590.57
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.96 / $162.00 / $216.68
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.75 / $245.19 / $359.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.58 / $361.57 / $636.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.00 / $88.18 / $155.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.83 / $282.50 / $461.11
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.40 / $119.00 / $209.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $692.43
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$222.24 / $222.24 / $222.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $150.47 / $226.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.65 / $309.39 / $556.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.83 / $82.01 / $129.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.04 / $219.80 / $423.94