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South Carolina rates for HCPCS A9593

Gallium ga-68 psma-11 ucsf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.41 / $765.41 / $4,028.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.28 / $765.41 / $765.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.42 / $793.42 / $793.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.40 / $765.41 / $1,026.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.51 / $1,282.51 / $1,282.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.86 / $777.86 / $777.86