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South Carolina rates for HCPCS 45800

Closure Rectovesical Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.19 / $3,321.47 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.71 / $1,482.31 / $2,870.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.73 / $1,258.95 / $2,108.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.58 / $1,598.14 / $2,945.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.76 / $1,487.05 / $2,543.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.34 / $1,353.00 / $3,296.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $1,011.41 / $1,809.42
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
$1,066.81 / $1,427.57 / $2,685.85