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South Carolina rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $83.18 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $263.03 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $53.70 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $169.82 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $100.00 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $45.71 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $89.13 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $302.00 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $104.71 / $162.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $173.78 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $67.61 / $114.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $199.53 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $446.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $61.66 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $181.97 / $338.84