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South Carolina rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.57 / $131.11 / $163.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $522.50 / $857.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $131.11 / $199.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.38 / $365.42 / $543.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.61 / $416.61 / $416.61
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.43 / $107.99 / $179.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.37 / $660.00 / $1,173.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.46 / $168.75 / $292.16
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.91 / $435.00 / $942.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.13 / $913.37 / $1,514.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.75 / $145.47 / $275.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$439.26 / $744.79 / $1,355.77
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$161.90 / $189.00 / $330.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,678.04
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$393.98 / $393.98 / $393.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.10 / $360.50 / $588.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.04 / $730.96 / $1,504.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.24 / $132.91 / $221.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$411.72 / $655.44 / $1,308.32