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South Carolina rates for HCPCS 0654T

Egd Flexible Transnasal W/Insj Intral Tube/Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.97 / $7,182.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.97 / $133.66 / $154.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.53 / $133.91 / $174.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $615.00 / $2,472.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.97 / $137.22 / $209.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $137.22 / $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
$614.00 / $4,877.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.93 / $163.15 / $330.67