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South Carolina rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.64 / $29.64 / $84.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.01 / $99.25 / $530.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.64 / $32.67 / $89.92
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$163.80 / $832.00 / $852.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.37 / $66.03 / $116.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $99.19 / $161.47
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.86 / $35.09 / $39.69
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.78 / $148.79 / $275.62
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.70 / $47.70 / $74.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $106.11 / $178.75
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.64 / $55.00 / $86.06
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.00 / $59.62 / $91.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $128.75 / $212.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.79 / $45.98 / $72.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.20 / $83.35 / $137.25
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.27 / $54.68 / $96.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $372.38 / $372.38
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.88 / $127.88 / $127.88
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$558.57 / $558.57 / $558.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $83.61 / $137.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $117.48 / $192.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.74 / $39.86 / $68.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.37 / $71.98 / $129.27