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South Carolina rates for HCPCS 43641

Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,258.93 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $562.34 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $3,388.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,737.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,570.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $6,165.95 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $2,238.72