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South Carolina rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.46 / $22.46 / $64.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.73 / $92.43 / $149.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.46 / $23.93 / $54.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.48 / $67.09 / $113.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.39 / $81.39 / $81.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.85 / $24.49 / $43.84
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.45 / $90.45 / $90.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $106.05 / $227.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.49 / $60.73 / $88.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.50 / $64.61 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $116.83 / $204.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.11 / $33.70 / $61.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.88 / $82.04 / $147.51
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.29 / $48.03 / $93.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.52 / $356.52 / $356.52
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.85 / $97.85 / $97.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.14 / $80.55 / $129.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $111.23 / $184.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.81 / $32.88 / $54.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.02 / $77.20 / $128.12