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South Carolina rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $7,244.36 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $5,128.61 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $812.83 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,445.44