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South Carolina rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $1,619.00 / $2,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.12 / $275.00 / $275.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.45 / $402.53 / $635.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.68 / $427.10 / $443.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $150.57 / $286.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $150.66 / $341.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.29 / $334.29 / $334.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00