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South Carolina rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.73 / $9,062.00 / $17,247.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.85 / $9,261.92 / $16,512.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,584.80 / $3,845.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $1,631.60 / $2,872.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $15,451.00 / $23,485.00