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South Carolina rates for HCPCS 43881

Impltj/Rplcmt Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.18 / $7,799.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $772.28 / $838.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.73 / $594.02 / $773.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.82 / $1,019.44 / $2,002.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.57 / $888.13 / $1,312.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.66 / $361.66 / $888.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.59 / $735.45 / $735.45
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
$544.42 / $831.13 / $1,817.65