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South Carolina rates for HCPCS 75805

Lymphangiography Pelvic/Abdominal Unilat Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,362.19 / $2,362.19 / $2,362.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.44 / $2,362.19 / $2,451.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.86 / $1,029.24 / $2,173.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.30 / $422.01 / $3,534.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.36 / $7,814.37 / $15,826.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.34 / $328.41 / $561.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.47 / $475.08 / $4,015.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.92 / $2,203.92 / $10,022.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.81 / $57.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,329.60 / $2,861.66 / $3,455.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.33 / $1,538.93 / $4,113.89