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South Carolina rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.50 / $4,230.00 / $9,870.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.01 / $563.50 / $723.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.93 / $4,499.91 / $7,538.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.84 / $814.00 / $1,404.99
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
$497.00 / $660.60 / $1,209.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.06 / $635.17 / $1,030.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.89 / $2,838.69 / $3,329.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.16 / $532.98 / $830.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,607.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.74 / $635.19 / $1,330.44