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South Carolina rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.63 / $1,177.51 / $9,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.09 / $428.63 / $671.23
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
$326.62 / $490.37 / $819.97
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
$409.03 / $559.64 / $935.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.54 / $622.86 / $1,182.00
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
$411.71 / $582.00 / $1,133.09