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South Carolina rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.01 / $83.00 / $133.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $275.00 / $434.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $70.14 / $102.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.94 / $220.00 / $364.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.30 / $196.30 / $196.30
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.00 / $55.09 / $91.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.60 / $340.00 / $547.05
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.25 / $76.88 / $158.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.36 / $264.00 / $388.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.77 / $302.31 / $535.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.00 / $76.98 / $141.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.37 / $234.68 / $394.90
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.78 / $97.00 / $171.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.26 / $254.26 / $753.15
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$201.41 / $201.41 / $201.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $161.11 / $253.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.05 / $293.70 / $483.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.27 / $71.03 / $118.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.72 / $214.00 / $376.18