go back

South Carolina rates for HCPCS 78261

Gastric Mucosa Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.36 / $152.36 / $152.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.36 / $152.36 / $169.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.43 / $727.68 / $1,454.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.44 / $229.00 / $318.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.54 / $1,251.76 / $2,020.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.23 / $274.92 / $446.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.95 / $300.00 / $663.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $176.80 / $237.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.87 / $231.44 / $400.10