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South Carolina rates for HCPCS 70551

Mri Brain Brain Stem W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.01 / $86.02 / $106.66
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$48.03 / $48.03 / $124.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.18 / $475.00 / $1,143.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.37 / $106.66 / $528.64
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$100.09 / $120.07 / $393.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.09 / $335.00 / $434.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.49 / $194.03 / $315.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.30 / $70.27 / $117.01
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.11 / $161.15 / $207.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.39 / $460.00 / $722.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.37 / $132.00 / $232.10
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.11 / $328.00 / $490.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.40 / $485.71 / $844.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.73 / $99.00 / $181.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.32 / $326.95 / $632.00
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.00 / $128.01 / $260.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $736.63
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$477.19 / $477.19 / $477.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.54 / $130.32 / $212.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.22 / $340.68 / $757.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.54 / $99.00 / $151.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.21 / $220.25 / $649.74