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South Carolina rates for HCPCS 50520

Closure Nephrocutaneous/Pyelocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.36 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.14 / $1,410.36 / $1,827.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.22 / $1,396.00 / $2,454.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.16 / $1,460.69 / $3,012.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.14 / $1,497.42 / $2,562.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $1,072.64 / $1,788.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.13 / $3,070.00 / $6,584.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.32 / $1,569.02 / $3,241.23