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South Carolina rates for HCPCS Q9950

Injection Sulfur Hexafluoride Lipid Microspheres Per Ml(Reinstated 01/01/2016) Low Osmolar Contrast Material 350-399 Mg/Ml Iodine Concentration Per Ml (Del 12/31/07)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $19.52 / $78.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $19.52 / $30.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.03 / $26.03 / $26.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.06 / $35.24 / $38.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $30.01 / $37.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $17.54 / $18.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $23.42 / $47.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $19.14