go back

South Carolina rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.53 / $4,810.62 / $28,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.34 / $2,104.61 / $2,850.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.37 / $1,881.80 / $3,209.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.76 / $2,312.12 / $4,239.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.26 / $2,141.13 / $3,626.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.00 / $2,057.00 / $4,704.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.87 / $1,471.97 / $2,587.86
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
$1,521.54 / $2,101.92 / $3,902.85