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South Carolina rates for HCPCS A9592

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,734.50 / $7,370.96 / $9,701.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.50 / $947.10 / $997.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.50 / $1,136.48 / $1,818.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.75 / $981.75 / $981.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.50 / $947.10 / $1,270.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.41 / $1,607.41 / $1,607.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $929.88 / $994.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.50 / $962.50 / $962.50