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South Carolina rates for HCPCS A9540

Technetium Tc-99m Macroaggregated Albumin Diagnostic Per Study Dose Up To 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.98 / $280.37 / $1,052.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $30.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $43.20 / $62.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $29.52 / $39.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00