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South Carolina rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $169.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $335.52 / $578.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $112.87 / $622.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.13 / $220.00 / $292.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.72 / $113.85 / $189.58
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.33 / $267.33 / $267.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.86 / $775.00 / $1,101.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.91 / $183.00 / $259.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.95 / $584.30 / $776.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.33 / $558.87 / $900.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.32 / $147.41 / $265.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.04 / $422.00 / $675.50
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.87 / $166.88 / $333.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $145.72 / $1,037.76
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$622.40 / $622.40 / $622.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $210.04 / $363.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.05 / $468.38 / $1,001.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.87 / $146.44 / $242.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.06 / $358.17 / $779.07