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South Carolina rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,325.09 / $7,634.03 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,778.18 / $3,325.09 / $4,445.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.14 / $2,757.30 / $4,617.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.69 / $3,769.35 / $6,835.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.00 / $3,325.09 / $5,654.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,278.00 / $2,639.24 / $7,364.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.30 / $2,606.73 / $4,288.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $5,871.00 / $8,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.40 / $3,227.76 / $6,223.13