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South Carolina rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.43 / $2,477.83 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.36 / $386.43 / $1,178.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.68 / $134.68 / $134.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $900.66 / $2,252.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $175.42 / $1,061.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $569.33 / $663.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.56 / $424.17 / $1,606.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.61 / $956.84 / $1,540.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.43 / $1,310.55 / $2,188.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.31 / $814.47 / $1,237.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $4,877.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.58 / $1,040.69 / $2,035.00