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South Carolina rates for HCPCS 79101

Radiopharmaceutical therapy, by intravenous administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.90 / $52.48 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $309.03
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $69.18 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $354.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $79.43 / $138.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $190.55 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $57.54 / $112.20