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South Carolina rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.01 / $1,995.03 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.26 / $901.02 / $1,210.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.58 / $1,296.58 / $1,296.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.43 / $924.00 / $1,624.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.05 / $992.44 / $1,800.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.11 / $921.84 / $1,540.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.00 / $909.24 / $1,997.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.35 / $706.15 / $1,171.56
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
$635.94 / $858.52 / $1,661.74