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South Carolina rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.61 / $98.61 / $240.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $98.61 / $104.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.57 / $1,208.58 / $2,731.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.32 / $242.52 / $347.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.25 / $2,329.65 / $3,972.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $167.56 / $298.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.66 / $255.55 / $331.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.71 / $424.71 / $424.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $80.55 / $128.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.55 / $147.04 / $259.60