go back

South Carolina rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,188.25 / $1,188.25 / $1,188.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.95 / $1,188.25 / $1,212.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.29 / $1,029.24 / $2,173.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.05 / $414.22 / $1,785.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.10 / $3,926.29 / $7,811.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.57 / $322.61 / $557.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.11 / $465.45 / $2,213.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.57 / $879.57 / $4,959.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.81 / $57.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $1,536.86 / $2,677.98