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South Carolina rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $4,230.00 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $1,849.02 / $2,207.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.83 / $302.45 / $2,028.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.70 / $517.71 / $3,745.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $2,039.93 / $3,440.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.76 / $1,966.63 / $3,063.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.47 / $2,456.16 / $4,549.53