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South Carolina rates for HCPCS 77048

Mri Breast W/Out&With Contrast W/Cad Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.70 / $84.71 / $84.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.17 / $324.49 / $522.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.30 / $330.30 / $330.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.26 / $460.00 / $871.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.29 / $480.93 / $868.46
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.63 / $192.75 / $308.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.69 / $1,272.69 / $1,272.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $243.45 / $407.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.32 / $620.75 / $1,162.10