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South Carolina rates for HCPCS 50920

Closure Ureterocutaneous Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.92 / $2,426.06 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.61 / $1,073.92 / $1,375.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.58 / $1,200.00 / $2,109.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.78 / $1,253.29 / $2,297.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.61 / $1,184.08 / $1,944.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $830.99 / $1,370.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.94 / $1,194.74 / $2,244.04