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South Carolina rates for HCPCS 44640

Closure Intestinal Cutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.51 / $3,756.62 / $16,467.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $1,641.51 / $2,812.26
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$254.40 / $325.00 / $509.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00