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South Carolina rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,624.93 / $31,680.82 / $43,788.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.72 / $2,149.06 / $3,831.16
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$417.14 / $429.81 / $704.75
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$292.00 / $300.87 / $489.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.00 / $15,713.00 / $23,583.00