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South Carolina rates for HCPCS 73223

Mri Any Jt Upper Extremity W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.98 / $124.98 / $146.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $475.50 / $803.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $199.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.83 / $350.51 / $543.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.11 / $377.44 / $377.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $95.75 / $171.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.11 / $481.00 / $1,029.50
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.75 / $140.00 / $187.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.36 / $340.13 / $943.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.76 / $763.28 / $1,449.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.23 / $137.25 / $263.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$348.77 / $633.16 / $1,143.83
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.59 / $179.00 / $315.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.42 / $300.42 / $1,476.12
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$376.43 / $376.43 / $376.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $290.24 / $475.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.91 / $611.45 / $1,277.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.98 / $124.96 / $209.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.64 / $483.75 / $1,063.42