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South Carolina rates for HCPCS A9547

Indium In-111 oxyquinoline, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $7,585.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,089.30 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,630.27 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $831.76 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,238.72