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South Carolina rates for HCPCS 33692

Compl Rpr Tetralogy Fallot W/O Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,653.67 / $5,240.84 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.23 / $2,653.67 / $3,037.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,774.75 / $3,631.00 / $4,826.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.96 / $2,760.16 / $4,652.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.67 / $2,851.00 / $4,594.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.39 / $1,833.75 / $2,920.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.92 / $2,606.08 / $5,048.02