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South Carolina rates for HCPCS 50930

Closure Ureterocutaneous Fistula W/Visc Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.76 / $3,035.87 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.13 / $1,340.76 / $1,717.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.36 / $1,588.00 / $2,792.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.50 / $1,565.57 / $2,873.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.99 / $1,483.12 / $2,431.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $1,013.02 / $1,681.82
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
$1,056.83 / $1,427.68 / $2,715.30