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South Carolina rates for HCPCS 44120

Entrc Rescj Small Intestine 1 Rescj & Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.56 / $3,273.14 / $16,467.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$718.78 / $1,636.57 / $1,636.57
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$287.51 / $654.63 / $654.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,091.32 / $1,091.32 / $1,091.32
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$272.83 / $272.83 / $272.83
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$136.41 / $136.41 / $136.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.61 / $1,466.99 / $2,467.59
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$260.00 / $293.39 / $444.21
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.00 / $205.38 / $310.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00