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South Carolina rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.43 / $9,062.00 / $24,503.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.33 / $1,494.57 / $2,016.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,359.22 / $4,942.80 / $6,396.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.88 / $1,355.26 / $2,241.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.67 / $1,672.11 / $3,269.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.47 / $1,554.34 / $2,560.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.81 / $1,549.05 / $3,326.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $1,061.95 / $1,876.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.00 / $12,299.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.33 / $1,479.96 / $2,776.09