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South Carolina rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.99 / $1,612.02 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.11 / $721.21 / $964.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.79 / $899.00 / $1,427.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $560.00 / $615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.37 / $823.48 / $1,569.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.32 / $852.00 / $1,234.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.00 / $864.58 / $1,580.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.74 / $545.90 / $924.47
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
$511.61 / $703.46 / $1,444.99