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South Carolina rates for HCPCS 43510

Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,905.46 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $954.99 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $562.34 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $2,691.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,348.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $1,995.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,165.95 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,819.70