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South Carolina rates for HCPCS 73225

Mra Upper Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.54 / $2,057.00 / $2,595.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.08 / $418.54 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.88 / $669.07 / $1,356.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.16 / $460.00 / $781.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.60 / $1,213.51 / $1,313.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.08 / $560.98 / $926.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.54 / $752.46 / $1,111.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.43 / $1,290.43 / $1,290.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.45 / $267.46 / $448.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.11 / $308.11 / $325.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.90 / $509.08 / $895.81