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South Carolina rates for HCPCS D0250

Extra-Oral - 2d Projection X-Ray

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.82 / $20.82 / $20.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $20.82 / $22.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.16 / $2,154.98 / $3,868.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $6.37 / $13.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $20.82 / $35.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.69 / $82.69 / $82.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00