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South Carolina rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $132.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $35.94 / $105.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $38.60 / $38.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $38.10 / $51.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $49.34 / $89.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $52.16 / $80.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $143.22 / $143.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $35.43 / $53.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.53 / $41.53 / $47.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.64 / $48.34 / $82.16