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South Carolina rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.77 / $4,016.80 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.86 / $1,771.77 / $2,271.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,134.52 / $11,134.52 / $11,134.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.74 / $2,157.00 / $3,792.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.44 / $2,044.45 / $3,799.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.86 / $1,972.61 / $3,217.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.45 / $1,353.83 / $2,241.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $6,679.00 / $9,084.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.79 / $1,983.52 / $3,829.00