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South Carolina rates for HCPCS A9558

Xenon Xe-133 Gas Diagnostic Per 10 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.90 / $368.88 / $1,122.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.01 / $251.02 / $351.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.35 / $39.35 / $39.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.99 / $306.12 / $344.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.20 / $260.20 / $260.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $240.57 / $327.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.10 / $255.10 / $255.10