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South Carolina rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.65 / $2,613.58 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.72 / $1,155.65 / $1,481.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.02 / $1,369.00 / $2,407.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.97 / $1,333.51 / $2,473.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.72 / $1,272.70 / $2,094.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $788.33 / $1,396.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.08 / $1,285.66 / $2,419.54