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South Carolina rates for HCPCS 43865

Revj Gstr/Jj Anast W/Rcnstj W/Vgtmy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,011.29 / $4,562.91 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.28 / $1,985.26 / $2,694.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,103.13 / $2,103.13 / $2,103.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.86 / $1,777.64 / $3,032.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.14 / $2,209.56 / $4,334.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.75 / $2,033.60 / $3,440.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.98 / $1,998.00 / $4,457.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.87 / $1,384.73 / $2,453.82
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
$1,435.42 / $1,935.43 / $3,753.05