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South Carolina rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.67 / $8,895.74 / $36,788.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,285.60 / $10,248.92 / $10,985.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.77 / $1,638.63 / $2,254.67
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$327.73 / $327.73 / $404.70
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$223.65 / $229.41 / $283.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $16,269.00 / $24,161.00