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South Carolina rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $7,762.47 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,677.35 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $616.60 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $1,047.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $478.63 / $776.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $12,589.25 / $22,908.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $645.65