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South Carolina rates for HCPCS 0647T

Insj Gastrostomy Tube Perq W/Magnetic Gastropexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.25 / $9,062.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.25 / $851.60 / $986.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $977.35 / $1,139.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,328.07 / $4,328.07 / $4,328.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.25 / $871.70 / $1,332.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.70 / $871.70 / $1,449.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.88 / $1,122.11 / $2,164.06