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South Carolina rates for HCPCS 72142

Mri Spinal Canal Cervical W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.99 / $103.99 / $206.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $425.00 / $496.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $105.48 / $169.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.75 / $299.00 / $366.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.69 / $85.69 / $142.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.09 / $660.00 / $1,012.43
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.70 / $193.53 / $279.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.38 / $450.00 / $806.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.94 / $585.38 / $1,034.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.05 / $121.21 / $206.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.36 / $466.48 / $788.07
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.65 / $162.00 / $263.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,040.58
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$727.72 / $727.72 / $727.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $204.24 / $329.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.52 / $481.00 / $866.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.33 / $107.46 / $174.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.47 / $335.04 / $748.31