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South Carolina rates for HCPCS A9520

Technetium Tc-99m, tilmanocept, diagnostic, up to 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $831.76 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $389.05 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $588.84 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $794.33 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $707.95