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South Carolina rates for HCPCS 00790

Anes Intraperitoneal Upper Abdomen W/Laps Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $37.50 / $600.00
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$927.69 / $972.40 / $1,496.00
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$785.40 / $939.40 / $2,464.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $1,950.00 / $3,000.00