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South Carolina rates for HCPCS 50557

Renal Ndsc Nephros/Pyelostomy Fulg&/Inc W/Wo Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.56 / $1,150.07 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.99 / $418.56 / $653.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,251.80 / $5,908.67 / $10,140.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.82 / $477.73 / $850.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $6,081.57 / $7,814.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.06 / $546.13 / $912.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.18 / $611.92 / $1,255.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.21 / $5,380.74 / $6,547.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.02 / $492.95 / $762.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.66 / $567.30 / $1,094.84