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South Carolina rates for HCPCS 75572

Ct Heart Contrast Eval Cardiac Structure&Morph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $122.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.99 / $275.00 / $407.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $83.00 / $168.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.25 / $192.00 / $238.57
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.83 / $82.53 / $137.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.57 / $405.00 / $575.36
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.77 / $101.00 / $165.57
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.80 / $304.00 / $417.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.58 / $322.20 / $586.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.67 / $108.23 / $192.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.62 / $217.35 / $373.19
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.52 / $122.33 / $244.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $846.36
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$541.88 / $541.88 / $541.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $150.80 / $279.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.90 / $328.89 / $520.16
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.78 / $106.54 / $177.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.07 / $211.08 / $347.37