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South Carolina rates for HCPCS 72126

Ct Cervical Spine W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $140.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.34 / $275.00 / $450.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $63.42 / $112.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.86 / $214.72 / $377.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.54 / $57.81 / $96.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.72 / $395.00 / $628.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.78 / $140.00 / $202.66
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.94 / $255.00 / $448.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.31 / $312.10 / $565.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.59 / $80.28 / $148.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.11 / $252.16 / $434.84
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.28 / $102.00 / $180.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.06 / $192.06 / $630.53
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.48 / $213.48 / $213.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $127.90 / $207.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.01 / $274.48 / $490.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.14 / $72.93 / $124.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.25 / $214.62 / $430.48