go back

South Carolina rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.37 / $28.97 / $65.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.88 / $79.34 / $142.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.37 / $30.38 / $118.30
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.44 / $26.62 / $47.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.51 / $53.64 / $73.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.89 / $94.73 / $94.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.92 / $38.78 / $45.63
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$74.09 / $74.09 / $74.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.74 / $27.43 / $38.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.92 / $96.00 / $143.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.49 / $60.00 / $89.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.23 / $36.00 / $63.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.59 / $90.22 / $141.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.11 / $34.04 / $54.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.38 / $57.13 / $90.16
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.14 / $46.00 / $66.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.35 / $210.35 / $210.35
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.60 / $108.60 / $108.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $51.99 / $90.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $82.83 / $130.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.67 / $31.15 / $51.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.73 / $55.26 / $94.72