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South Carolina rates for HCPCS 50610

Urtrolithotomy Upper One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.83 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.65 / $1,149.83 / $1,473.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.08 / $1,403.00 / $2,466.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.45 / $1,330.14 / $2,464.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.65 / $1,274.21 / $2,085.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $775.48 / $1,389.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.10 / $1,284.74 / $2,486.21