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South Carolina rates for HCPCS 76817

Us Preg Uterus Real Time W/Image Dcmtn Transvag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.50 / $37.82 / $53.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $135.83 / $555.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.50 / $48.38 / $198.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.00 / $56.82 / $106.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.72 / $148.93 / $148.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.66 / $50.98 / $59.64
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.90 / $49.88 / $89.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $121.84 / $243.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.32 / $80.00 / $121.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.00 / $50.13 / $167.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $113.12 / $198.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.83 / $47.04 / $74.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $68.81 / $120.56
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.82 / $65.00 / $99.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.91 / $335.91 / $335.91
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.14 / $203.14 / $203.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $83.61 / $137.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.82 / $105.03 / $173.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.38 / $42.08 / $72.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.31 / $64.30 / $109.73