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South Carolina rates for HCPCS 50437

Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.58 / $7,182.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,251.80 / $4,855.42 / $9,578.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.14 / $348.82 / $555.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00