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South Carolina rates for HCPCS 73701

Ct Lower Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.34 / $83.00 / $133.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.92 / $275.00 / $438.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.07 / $70.14 / $103.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.52 / $217.64 / $368.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.78 / $164.24 / $164.24
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.00 / $58.94 / $91.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.13 / $142.13 / $142.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.78 / $340.00 / $579.62
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.25 / $76.88 / $152.11
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.53 / $264.00 / $420.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $291.02 / $525.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.34 / $76.98 / $141.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.30 / $235.70 / $385.69
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.78 / $97.00 / $172.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $621.99
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$202.58 / $202.58 / $202.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $127.90 / $207.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.68 / $255.70 / $448.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.45 / $76.40 / $118.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.10 / $198.37 / $361.74