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South Carolina rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $7,943.28 / $16,595.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,760.83 / $9,120.11