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South Carolina rates for HCPCS 75635

Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $167.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $358.72 / $515.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $110.81 / $229.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.17 / $241.25 / $380.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.35 / $267.35 / $309.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.99 / $104.99 / $187.93
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.32 / $227.32 / $227.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.35 / $412.00 / $724.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.00 / $111.38 / $181.43
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.37 / $310.00 / $475.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.96 / $601.16 / $1,080.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.21 / $152.86 / $262.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.50 / $472.00 / $800.03
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$175.23 / $201.00 / $347.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.36 / $1,035.36 / $1,035.36
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$412.86 / $412.86 / $412.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $178.71 / $320.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.46 / $585.99 / $986.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.23 / $145.74 / $238.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$298.87 / $416.54 / $742.78