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South Carolina rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $3,776.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.68 / $96.25 / $144.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.78 / $95.23 / $147.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $375.00 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $121.85 / $249.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.34 / $155.31 / $782.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.00 / $431.00 / $431.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.46 / $106.09 / $160.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.32 / $143.41 / $265.64