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South Carolina rates for HCPCS 50695

Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.73 / $3,519.38 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,705.00 / $8,385.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.73 / $1,615.98 / $2,422.87
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$903.99 / $2,809.17 / $3,582.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00