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South Carolina rates for HCPCS G0219

Pet Imaging Whole Body; Melanoma For Non-Covered Indications (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $3,022.00 / $6,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.16 / $1,500.00 / $1,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.21 / $617.21 / $617.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $1,500.00 / $2,025.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00