go back

South Carolina rates for HCPCS 76380

Ct Limited/Localized Follow Up Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.00 / $83.00 / $83.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.32 / $178.44 / $275.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $55.00 / $83.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.72 / $129.29 / $220.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.18 / $45.34 / $75.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.11 / $223.00 / $355.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.18 / $69.00 / $122.73
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.93 / $154.00 / $231.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.11 / $204.26 / $342.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.69 / $63.16 / $116.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.09 / $138.24 / $232.37
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.11 / $89.50 / $142.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.14 / $450.14 / $450.14
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$167.84 / $167.84 / $167.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $118.03 / $176.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.97 / $192.30 / $315.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.50 / $64.27 / $98.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.06 / $125.91 / $214.37