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South Carolina rates for HCPCS 77300

Basic Radiation Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.73 / $27.74 / $49.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $62.40 / $107.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.07 / $36.06 / $338.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.46 / $34.71 / $63.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $65.88 / $79.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.71 / $43.25 / $55.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.12 / $90.00 / $163.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.89 / $51.00 / $86.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.30 / $37.56 / $94.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.33 / $92.00 / $133.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.73 / $43.00 / $62.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.82 / $45.46 / $76.00
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.82 / $52.00 / $96.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $51.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.98 / $51.99 / $87.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.53 / $91.20 / $131.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.52 / $40.40 / $67.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.99 / $45.62 / $68.23