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South Carolina rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,467.37 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $112.20 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $114.82 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,760.83 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $95.50 / $158.49