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South Carolina rates for HCPCS 73722

Mri Any Jt Lower Extrem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.26 / $94.26 / $187.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.45 / $475.00 / $1,413.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.88 / $117.58 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$246.56 / $335.00 / $418.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $306.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.02 / $71.97 / $109.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.81 / $460.00 / $717.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.00 / $72.00 / $107.96
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.84 / $400.00 / $637.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.74 / $550.62 / $948.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.41 / $104.49 / $198.40
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.82 / $464.41 / $791.94
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.86 / $135.00 / $240.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.95 / $417.95 / $1,193.98
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$286.60 / $286.60 / $286.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $243.45 / $407.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.31 / $487.67 / $884.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.36 / $100.48 / $166.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$269.25 / $394.30 / $742.75