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South Carolina rates for HCPCS 43825

Gastrojejunostomy; with vagotomy, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.51 / $3,492.44 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.61 / $1,528.86 / $2,067.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,168.61 / $6,168.61 / $6,168.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.04 / $1,359.72 / $2,296.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.73 / $1,681.01 / $3,071.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.04 / $1,544.51 / $2,633.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.11 / $1,467.00 / $3,412.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.79 / $1,224.57 / $2,029.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.59 / $1,469.61 / $2,821.93