go back

South Carolina rates for HCPCS 43647

Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.35 / $10,032.00 / $24,649.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.89 / $674.95 / $726.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.71 / $381.71 / $381.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $19,405.16 / $33,882.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.08 / $389.00 / $683.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $911.34 / $1,736.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.94 / $776.43 / $1,147.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.66 / $361.66 / $776.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.34 / $461.60 / $461.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $19,663.00 / $41,346.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.62 / $494.37 / $1,917.25