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South Carolina rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.31 / $3,148.38 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,390.74 / $1,744.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.57 / $1,268.00 / $2,229.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.25 / $1,530.67 / $2,969.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.06 / $1,407.52 / $2,385.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.53 / $1,311.00 / $3,058.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $970.59 / $1,718.33
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
$989.38 / $1,326.46 / $2,599.11