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South Carolina rates for HCPCS 72146

Mri Spinal Canal Thoracic W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.01 / $86.02 / $109.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.59 / $425.00 / $669.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.51 / $111.82 / $234.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.05 / $281.41 / $441.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.16 / $175.47 / $188.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.84 / $70.59 / $117.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.70 / $153.72 / $196.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.35 / $460.00 / $781.51
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.67 / $180.00 / $258.77
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.80 / $280.00 / $537.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.09 / $489.00 / $832.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.30 / $101.77 / $181.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$145.69 / $313.07 / $669.52
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.97 / $155.00 / $227.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $718.92
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$259.48 / $259.48 / $259.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.54 / $130.32 / $212.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.05 / $302.64 / $717.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.62 / $91.53 / $151.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.96 / $227.09 / $612.00