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South Carolina rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.76 / $932.76 / $4,751.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$21.86 / $21.86 / $131.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.26 / $135.90 / $431.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $38.19 / $350.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.97 / $671.77 / $1,370.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $73.20 / $270.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.82 / $172.29 / $570.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$51.42 / $51.42 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.98 / $211.71 / $435.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.01 / $263.49 / $395.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.74 / $199.95 / $569.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.96 / $258.90 / $393.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.00 / $1,134.00 / $2,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.84 / $267.70 / $526.09