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South Carolina rates for HCPCS 43117

Prtl Esophect Dstl W/Wo Prox Gastrect/Pylorplsty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,791.68 / $8,674.09 / $16,467.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$2,244.61 / $2,244.61 / $2,244.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,821.00 / $3,222.93 / $6,445.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00