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South Carolina rates for HCPCS C9763

Cardiac Magnetic Resonance Imaging For Morphology And Function Quantification Of Segmental Dysfunction; With Stress Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $2,173.00 / $2,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $1,560.41 / $2,173.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.67 / $784.14 / $1,316.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.08 / $2,592.96 / $2,759.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $670.00 / $740.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.41 / $1,560.41 / $2,028.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.21 / $394.21 / $394.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.89 / $482.89 / $583.63