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South Carolina rates for HCPCS 43107

Tot Esophagectomy W/O Thorcom W/Wo Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,472.41 / $7,962.95 / $16,467.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.82 / $3,252.06 / $5,903.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00