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South Carolina rates for HCPCS A4641

Radiopharmaceutical Diagnostic Not Otherwise Classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $24.76 / $29.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.29 / $83.29 / $155.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $39.93 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.24 / $52.00 / $52.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00