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South Carolina rates for HCPCS 72125

Ct Cervical Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.26 / $83.00 / $102.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.63 / $275.00 / $691.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.84 / $62.14 / $338.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.07 / $192.00 / $261.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.25 / $119.61 / $128.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.19 / $46.72 / $78.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.23 / $105.80 / $105.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.61 / $340.00 / $540.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.04 / $117.00 / $166.60
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.56 / $223.00 / $395.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.03 / $263.02 / $463.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.00 / $68.27 / $121.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.31 / $205.76 / $349.21
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.78 / $110.69 / $171.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.83 / $88.83 / $484.62
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.49 / $309.49 / $309.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $118.03 / $176.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.12 / $205.49 / $409.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.69 / $68.08 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.72 / $157.97 / $325.50