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South Carolina rates for HCPCS G0296

Counseling Visit To Discuss Need For Lung Cancer Screening (Ldct) Using Low Dose Ct Scan (Reinstated 01/01/16) Pet Imaging Full And Partial Ring Pet Scanner Only For Restaging Of Previously Treated Thyroid Cancer Of Follicular Cell Origin Following Negative I -131 Whole Body Scan (Deleted 4/1/2005)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.18 / $78.28 / $85.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $28.12 / $48.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $37.53 / $46.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.94 / $98.94 / $98.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $34.33 / $68.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $33.67 / $78.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.70 / $24.70 / $29.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $28.90 / $61.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $27.55 / $70.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $40.43 / $63.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.06 / $28.47 / $45.46