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South Carolina rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.46 / $56.46 / $56.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $81.73 / $158.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.46 / $62.65 / $163.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $356.25 / $539.66
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.30 / $113.60 / $248.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.92 / $149.41 / $297.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.61 / $88.99 / $165.35
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.17 / $111.00 / $158.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.95 / $56.45 / $103.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.66 / $128.03 / $249.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.63 / $80.59 / $138.09