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South Carolina rates for HCPCS 50630

Urtrolithotomy Lower One-Third Ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.60 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.30 / $1,086.60 / $1,392.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.52 / $1,402.00 / $2,465.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.75 / $1,253.83 / $2,328.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.30 / $1,195.27 / $1,969.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $839.81 / $1,401.37
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
$863.80 / $1,208.84 / $2,350.87