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South Carolina rates for HCPCS A9547

Indium In-111 Oxyquinoline Diagnostic Per 0.5 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.30 / $2,071.30 / $8,374.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.04 / $2,071.30 / $2,096.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.46 / $2,525.98 / $2,813.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.08 / $2,147.08 / $2,147.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.12 / $689.27 / $2,568.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.98 / $2,104.98 / $2,104.98