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South Carolina rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.16 / $3,259.90 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.99 / $1,488.16 / $1,929.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.20 / $1,601.00 / $2,815.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.01 / $1,632.17 / $3,186.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.99 / $1,586.00 / $2,705.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.45 / $1,156.12 / $1,924.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.00 / $6,074.00 / $8,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.93 / $1,634.84 / $2,934.02