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South Carolina rates for HCPCS 91113

Gi Tract Imaging Intraluminal Colon I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.27 / $908.27 / $908.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.58 / $884.16 / $996.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.76 / $807.09 / $1,065.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.37 / $801.37 / $801.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.17 / $1,150.40 / $1,896.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.27 / $956.19 / $1,578.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,208.19 / $3,208.19 / $3,208.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $682.30 / $1,153.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.92 / $1,095.93 / $1,642.92