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South Carolina rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.80 / $394.41 / $621.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $98.65 / $316.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.30 / $214.50 / $377.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $123.00 / $156.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.39 / $394.61 / $452.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.98 / $152.79 / $281.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.64 / $152.00 / $293.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.49 / $412.49 / $412.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $120.39 / $186.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.90 / $80.90 / $100.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.83 / $139.49 / $234.61