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South Carolina rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.43 / $4,069.69 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.99 / $1,796.43 / $2,404.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.00 / $1,466.90 / $2,303.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.00 / $1,955.63 / $3,617.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.22 / $1,796.43 / $3,067.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.23 / $1,757.00 / $3,973.10
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
$454.00 / $6,074.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.25 / $1,766.99 / $3,329.88