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South Carolina rates for HCPCS 72156

Mri Spinal Canal Cervical W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.77 / $132.77 / $170.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.49 / $475.00 / $1,288.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.29 / $140.00 / $402.43
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$219.91 / $335.00 / $462.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.58 / $315.61 / $513.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.62 / $109.67 / $182.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.20 / $268.20 / $268.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.06 / $660.00 / $1,274.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.02 / $265.00 / $391.26
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.57 / $395.00 / $825.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.95 / $740.00 / $1,388.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.61 / $156.97 / $278.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.70 / $547.52 / $1,167.27
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$185.39 / $249.00 / $379.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,209.28
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$400.02 / $400.02 / $400.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $210.04 / $363.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.09 / $552.54 / $1,312.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.91 / $142.69 / $234.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.84 / $398.45 / $1,122.57