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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
$4,265.80 / $7,244.36 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,677.35 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,691.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $331.13 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,442.29