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South Carolina rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.16 / $3,207.37 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.23 / $1,406.20 / $1,899.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.93 / $1,267.00 / $2,139.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,552.71 / $2,816.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.76 / $1,423.46 / $2,416.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.49 / $1,330.00 / $3,134.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $977.67 / $1,734.18
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
$992.36 / $1,404.84 / $2,889.10