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South Carolina rates for HCPCS 0651T

Magnetically Controlled Capsule Endoscopy W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.36 / $228.36 / $923.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.36 / $239.35 / $271.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $615.00 / $920.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.06 / $1,202.06 / $1,202.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.36 / $240.37 / $382.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.37 / $240.37 / $859.44
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
$217.81 / $295.47 / $604.48