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South Carolina rates for HCPCS 75810

Splenoportograpy Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,360.58 / $2,360.58 / $2,360.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.73 / $2,360.58 / $2,449.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.55 / $4,550.16 / $11,396.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.00 / $830.05 / $3,532.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.59 / $7,814.37 / $15,826.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.55 / $582.88 / $1,016.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.35 / $1,012.70 / $4,499.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.92 / $2,203.92 / $10,014.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $38.81 / $57.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.61 / $2,337.61 / $2,861.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.26 / $1,597.69 / $4,127.91