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South Carolina rates for HCPCS 73219

Mri Upper Extremity Oth Than Jt W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.88 / $93.88 / $93.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.51 / $406.70 / $425.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.45 / $460.00 / $717.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.73 / $571.12 / $989.79
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$106.00 / $135.00 / $239.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,256.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $258.88 / $425.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.87 / $534.03 / $871.77