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South Carolina rates for HCPCS 74455

Urethrocystography Voiding Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.20 / $657.90 / $793.10
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.16 / $13.16 / $22.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.78 / $86.48 / $185.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.16 / $14.48 / $129.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.99 / $71.97 / $105.33
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.72 / $11.72 / $15.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.55 / $528.54 / $1,008.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.64 / $101.92 / $169.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.48 / $45.01 / $57.82
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.50 / $76.16 / $119.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.24 / $752.99 / $1,215.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.38 / $107.00 / $203.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.47 / $21.49 / $36.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.91 / $85.71 / $167.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $121.00 / $243.10
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.56 / $28.00 / $50.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.56 / $378.56 / $378.56
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.08 / $56.08 / $56.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.46 / $104.33 / $154.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.91 / $179.52 / $230.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.15 / $106.98 / $187.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $19.45 / $33.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.78 / $86.87 / $154.61