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South Carolina rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt 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
$1,545.00 / $3,863.49 / $13,344.69
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
$1,260.82 / $1,672.11 / $3,269.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.47 / $1,554.80 / $2,560.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.67 / $1,549.27 / $3,326.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $1,041.80 / $1,832.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $15,256.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.33 / $1,439.66 / $2,776.49