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South Carolina rates for HCPCS A9548

Indium In-111 pentetate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $870.96 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $954.99