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South Carolina rates for HCPCS 72255

Myelography, thoracic, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $213.80 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,148.15 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $190.55 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $398.11 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $288.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $169.82 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,311.31 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $263.03