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South Carolina rates for HCPCS 73206

Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $100.00 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $95.50 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $79.43 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $501.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $85.11 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $107.15 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $436.52 / $776.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $104.71 / $181.97