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South Carolina rates for HCPCS 73218

Mri Upper Extremity Oth Than Jt W/O Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.65 / $78.66 / $96.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $432.56 / $651.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.76 / $102.25 / $176.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.98 / $335.00 / $455.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.04 / $294.58 / $294.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.02 / $60.02 / $107.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.63 / $325.63 / $325.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.41 / $460.00 / $662.58
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.02 / $94.23 / $133.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.02 / $358.00 / $532.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.45 / $502.73 / $844.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.68 / $85.93 / $165.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.70 / $430.07 / $721.80
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.62 / $113.00 / $198.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.72 / $187.72 / $1,040.48
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$238.32 / $238.32 / $238.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.54 / $231.17 / $377.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.34 / $465.88 / $817.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.59 / $83.15 / $138.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.23 / $375.80 / $667.06