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South Carolina rates for HCPCS 46280

Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed

Facilitymedian $3,388 · 10th–90th $562–$10,9650%5%10%10th90th$3,388Professionalmedian $550 · 10th–90th $513–$6310%50%10th90th$550$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $5,754.40 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,570.88 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,862.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $602.56 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $10,000.00 / $16,595.87