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South Carolina rates for HCPCS 43400

Ligation Direct Esophageal Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.33 / $4,061.34 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.31 / $1,771.56 / $2,398.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.00 / $1,490.19 / $2,465.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.74 / $2,031.65 / $3,762.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.31 / $1,828.18 / $3,068.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.35 / $1,630.00 / $3,964.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.90 / $1,232.46 / $2,188.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $17,146.00 / $24,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.81 / $1,727.34 / $3,503.50