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South Carolina rates for HCPCS 50575

Rnl Ndsc Nfrot/Plot W/Endopyelotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.91 / $1,975.06 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.65 / $863.91 / $1,108.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,193.96 / $8,625.95 / $14,625.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.43 / $1,261.00 / $2,147.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,208.42 / $3,208.42 / $4,122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.97 / $997.62 / $1,848.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.08 / $975.84 / $1,577.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.70 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.81 / $799.33 / $1,246.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.30 / $1,109.49 / $1,862.30