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South Carolina rates for HCPCS A9568

Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,066.00 / $4,309.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.00 / $1,066.00 / $1,105.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,296.75 / $1,688.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,066.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,066.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.61 / $1,235.00 / $1,321.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $1,235.00