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South Carolina rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,560.23 / $5,067.75 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.27 / $2,560.23 / $2,938.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.96 / $2,687.00 / $4,385.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,195.38 / $2,785.11 / $4,580.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.82 / $2,944.28 / $4,410.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.39 / $1,771.05 / $2,827.72
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
$1,832.82 / $2,533.75 / $4,940.62