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South Carolina rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,715.26 / $6,174.06 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.62 / $2,715.26 / $3,637.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.00 / $2,236.73 / $3,602.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.13 / $2,986.29 / $5,423.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $2,715.26 / $4,657.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.99 / $2,433.00 / $6,030.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $2,117.62 / $3,477.23
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
$1,949.70 / $2,694.42 / $4,926.83