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South Carolina rates for HCPCS 70543

Mri Orbit Face & Neck W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.20 / $124.21 / $152.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.45 / $475.00 / $1,263.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $527.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.81 / $335.00 / $456.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.06 / $310.06 / $333.31
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.37 / $102.62 / $170.87
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.45 / $300.45 / $300.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.61 / $660.00 / $1,173.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.46 / $107.34 / $161.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.61 / $557.00 / $979.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.02 / $787.27 / $1,449.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.23 / $137.25 / $261.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.02 / $613.90 / $1,199.68
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.59 / $179.00 / $314.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,282.30
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$374.04 / $374.04 / $374.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $243.45 / $407.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.15 / $616.60 / $1,286.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.98 / $127.88 / $218.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.85 / $443.15 / $1,145.83