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South Carolina rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,497.48 / $5,677.64 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.17 / $2,497.48 / $3,345.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.07 / $2,203.53 / $3,771.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.00 / $2,742.48 / $4,937.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $2,504.00 / $4,245.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.32 / $1,902.00 / $5,544.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.74 / $1,718.76 / $3,044.49
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
$1,760.19 / $2,310.39 / $4,400.47