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South Carolina rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,453.52 / $9,062.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,429.54 / $5,453.52 / $9,051.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,087.00 / $5,282.10 / $7,223.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,973.04 / $8,042.16 / $14,108.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,727.89 / $7,092.00 / $13,252.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.59 / $4,755.54 / $8,526.61
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
$5,380.29 / $7,765.81 / $15,030.66