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South Carolina rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.60 / $103.60 / $205.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.35 / $430.84 / $598.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.84 / $128.66 / $199.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$125.00 / $165.71 / $212.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.65 / $335.00 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.45 / $78.89 / $141.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.01 / $660.00 / $1,042.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.89 / $195.00 / $292.04
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.13 / $465.00 / $769.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.75 / $579.62 / $1,017.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.95 / $119.00 / $218.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.70 / $453.22 / $757.00
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$127.26 / $149.00 / $264.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,016.97
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$311.70 / $311.70 / $311.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $204.24 / $329.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.30 / $467.53 / $856.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.09 / $109.57 / $181.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.43 / $325.52 / $722.70