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South Carolina rates for HCPCS A9581

Eovist IV SOLN 0.25 MOL/L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.47 / $95.55 / $536.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $15.47 / $20.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $30.24 / $37.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $17.04 / $20.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $13.90 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $15.47 / $33.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $14.73 / $14.73