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South Carolina rates for HCPCS 50955

Ureteral Endoscopy Via Ureterostomy W/Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.17 / $1,166.48 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.06 / $426.17 / $665.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,251.80 / $5,908.67 / $10,140.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.02 / $485.74 / $818.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $3,208.42 / $4,122.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.91 / $580.33 / $1,002.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.68 / $622.00 / $1,283.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.21 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.02 / $492.95 / $762.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.73 / $576.65 / $1,122.68