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South Carolina rates for HCPCS 43501

Gastrotomy W/Suture Repair Bleeding Ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,585.79 / $3,589.63 / $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
$1,256.00 / $1,585.79 / $2,715.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00