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South Carolina rates for HCPCS 75872

Venography Epidural Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.60 / $106.60 / $106.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.59 / $108.86 / $128.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.11 / $1,868.40 / $3,716.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.39 / $527.00 / $821.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.14 / $1,925.97 / $3,108.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.54 / $270.07 / $652.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.72 / $400.46 / $835.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.42 / $463.42 / $463.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $94.29 / $166.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $198.65 / $554.36