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South Carolina rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.76 / $6,830.63 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,494.75 / $2,984.76 / $3,991.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,362.21 / $2,656.08 / $4,585.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.87 / $3,372.29 / $6,523.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.15 / $3,145.14 / $5,107.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.10 / $3,042.00 / $6,620.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $2,367.27 / $3,911.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.86 / $2,944.99 / $5,815.34