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South Carolina rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.61 / $3,846.42 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,359.31 / $1,697.61 / $2,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.69 / $940.69 / $940.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.29 / $2,095.00 / $3,683.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.32 / $1,958.88 / $3,638.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.31 / $1,874.10 / $3,082.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $1,321.48 / $2,190.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.30 / $1,898.94 / $3,667.23