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South Carolina rates for HCPCS 43510

Gstrt W/Esophgl Dilat&Insj Prm Intral Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.49 / $2,520.50 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.69 / $1,119.49 / $1,497.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.00 / $1,979.34 / $3,846.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.48 / $972.30 / $1,628.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.29 / $1,213.39 / $2,348.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.69 / $1,119.49 / $1,903.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.49 / $1,050.00 / $2,467.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $773.76 / $1,357.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.83 / $1,065.63 / $2,048.44