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South Carolina rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,440.80 / $10,500.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,426.95 / $5,671.63 / $7,737.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.00 / $4,398.33 / $5,999.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,743.36 / $6,424.09 / $11,437.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.96 / $5,774.83 / $9,817.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.49 / $5,568.00 / $12,945.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.70 / $3,970.92 / $7,010.90
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
$4,175.14 / $5,665.18 / $10,968.79