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South Carolina rates for HCPCS 50620

Urtrolithotomy Middle One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.89 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.44 / $1,099.89 / $1,408.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.53 / $1,352.00 / $2,377.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.34 / $1,269.17 / $2,357.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.44 / $1,218.04 / $1,994.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $852.58 / $1,413.97
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
$885.79 / $1,342.14 / $2,312.64