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South Carolina rates for HCPCS 72147

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $128.82 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $147.91 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $588.84 / $977.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $147.91 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $549.54 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $117.49 / $199.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $181.97 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $891.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $104.71 / $177.83