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South Carolina rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.55 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.86 / $294.77 / $404.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.00 / $706.82 / $1,383.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $159.60 / $399.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.82 / $172.29 / $570.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.60 / $264.94 / $639.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.95 / $391.37 / $587.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.74 / $296.33 / $851.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.79 / $332.57 / $506.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,138.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.87 / $347.90 / $670.51