go back

South Carolina rates for HCPCS 70496

Ct Angiography Head W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $123.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.15 / $385.88 / $675.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.17 / $86.36 / $200.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.13 / $249.60 / $461.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.96 / $257.95 / $419.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.76 / $83.13 / $138.41
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.63 / $162.63 / $227.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.96 / $311.95 / $545.07
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.33 / $118.00 / $167.64
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.63 / $201.60 / $343.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.18 / $486.00 / $879.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.47 / $115.33 / $208.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.09 / $386.83 / $692.44
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.67 / $146.00 / $256.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $927.91
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$622.40 / $622.40 / $622.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $178.71 / $320.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.07 / $449.38 / $811.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.08 / $107.40 / $178.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.94 / $328.22 / $691.49