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South Carolina rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,570.40 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $870.96 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $275.42