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South Carolina rates for HCPCS 50387

Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.50 / $1,291.58 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.81 / $3,577.06 / $6,284.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.33 / $1,221.33 / $1,569.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.67 / $668.65 / $1,112.88
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$221.25 / $1,314.65 / $1,514.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $6,743.00 / $9,951.00