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South Carolina rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.84 / $375.20 / $580.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.53 / $87.34 / $176.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.39 / $212.05 / $377.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.33 / $99.75 / $167.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.39 / $317.70 / $442.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.46 / $119.95 / $205.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.81 / $130.52 / $235.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.07 / $363.07 / $363.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $83.61 / $137.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.16 / $113.49 / $185.08